Your name:
Mailing Address:
Phone: Fax:
Email Address:
Website Address:
1.
About Your Monograph
a. Suggested Title:
b. Approximate number of double-spaced manuscript pages:
c. When will your monograph be ready for publication?
d. Have any portions of the information you plan to include
in the monograph been previously published?
e. Do you own the copyright to this material?
2.
About You as an Author
a. Are you the only author? If no, list the names of the
co-authors. Answer b-c for each author. This information
will be used to market your monograph.
b. Why are you an expert on this topic? Describe any relevant
life experiences, professional credentials, work experience,
and prior publications related to the topic of your monograph.
c. What societies/organizations/websites, etc. are you involved
with that might be interested in promoting/purchasing this
monograph?
3.
Attachments
a. Please attach an outline of what you plan to cover in
your monograph. Be sure to include clinical applications
of your topic. Keep in mind that your target audience is
health providers who work with pregnant and breastfeeding
mothers. This might be a lactation consultant, physician,
nurse, dietitian, La Leche League leader, WIC staff, WIC
peer counselor, doula, midwife, etc.
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