Step 1 of 3 33% Personal InformationName First Last Email Address Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your PhoneBest Time To Call YouWhen is the best time for us to reach you via telephone?MorningsEarly AfternoonLate AfternoonEarly EveningBest Days of Availability for ConsultingPlease tell us what days you are most available for consulting. Check all that apply. Monday Tuesday Wednesday Thursday Friday Hours of Availability for ConsultingPlease tell us what times you are most available for consulting. Check all that apply. (Note: Late afternoons are not available on Thursday or Friday) 8:00AM EST 9:00AM EST 10:00AM EST 11:00AM EST 12:00PM EST 2:00PM EST 6:00PM EST 7:00PM EST GoalsWhich of the following are you interested in publishing? Children's Book Guided Journal Memoir Devotional Cook Book Book of Poetry Self-Help Step-by-Step / How-To Personal / Professional / Academic Impartation Other What are your goals for becoming a self-published author?Please expound on whether you desire strictly to sell books, be a thought-leader in your field, book speaking engagement, or something else. Give it thought and share all that applies.Previous ExperienceAre you currently a business owner or employed? If so, provide specifics.Please provide specifics on any writing you have done previously (i.e. blogs, editorials, articles, poetry, etc.) published or not.Type of WorkName of Business or EmployerHow long what you owned your business or worked for your current employer?Does your current stream of income allow you to invest in building your foundation as an author? (Y/N) Add RemoveAre you currently an author? If so, provide specifics.Please provide specifics on any writing you have done previously (i.e. blogs, editorials, articles, poetry, etc.) published or not. *Note that if you are previously published and would like to make any adjustments to your previous works, you must verify that any previous contracts have been resolved and you own your copyrights.Type of WorkDate Completed or Last VisitedPublished (Y/N)Do you want to COMPLETE or REBRAND this work? (Y/N) Add RemoveType of WorkDate Completed or Last VisitedPublished (Y/N)Do you want to COMPLETE or REBRAND this work? (Y/N) Add RemoveType of WorkDate Completed or Last VisitedPublished (Y/N)Do you want to COMPLETE or REBRAND this work? (Y/N) Add RemoveTell Us Why You Want to be an AuthorWhat do you hope to gain from the Rising Author Academy?Currently, what is your biggest challenge for becoming an author?More About YouAdditional InformationPlease add any additional information or works that you've done or would like to do that would be beneficial to understand for the consulting process.Please feel free to add any comments and/or questions, or any additional information that you think would be helpful.Please feel free to add any comments and/or questions, or any additional information that you think would be helpful. Upload Your Manuscript DraftNote that creator (applicant) reserves the rights to all intellectual property. Note that manuscripts will not be used or shared with any entity other than for the purpose of accessing for consultations, or for the purpose of soliciting services-for-hire in an attempt to further the completion of the project (i.e. graphic designers, illustrators, or for marketing). Accepted file types: pdf, doc, docx, Max. file size: 25 MB.Are you prepared to commit to this process personally and financially?(Required)I fully understand that if I am not first committed personally to the time required to effectively go through this process and complete and adhere to the assignments and requirement, I will not achieve successful results. If my attendance and participation are unsatisfactory, I understand that I may be removed from the program. I understand that Rising Author Academy reserves the right to invoice for sessions that were not properly cancelled or rescheduled. I agree to remit any payment or fees in the time prescribed in my contract. I agreeTerms and Conditions(Required)I acknowledge that I have answered all of the questions truthfully to the best of my ability. I understand and acknowledge the terms outlined In the above client letter provided by DND365-RAA. I agree if accepted into the Rising Author Academy that in order to achieve the results I desire In a timely manner, I must commit to what has been prescribed from my Discovery Call and the subsequent sessions that follow. I agree that I will adhere to the terms of my future contract with Rising Author Academy and resolve all invoices in the time prescribed, unless other arrangements have been specified and accepted. I understand that if accepted into the Rising Author Academy that all sessions are to be made by appointment only. Appointments can be made by email, Calendly, phone or text, or in-person via conference call (Zoom, Google Meets, etc.) I fully understand that all CANCELLATIONS must be made at least 30 minutes prior to the scheduled session. Early morning sessions must be cancelled the evening prior. I further understand that CANCELLATIONS must be rescheduled within the respective month. I agree to the terms and conditions.UntitledFirst ChoiceSecond ChoiceThird ChoicePhoneThis field is for validation purposes and should be left unchanged. Δ