Self-Healing Expressions
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Bringing the self to healing, one lesson at a time.
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STEP 1

If you're interested in proposing a self-help/self-healing course to Self-Healing Expressions,
please complete this online application.

Note to AOL users: Download the latest version of AOL to eliminate difficulties with this form.

Bold fields are required.
Name
Title
Company
Street Address
City
State/Province
Country
Zip or Postal Code
Email Address
Alternative Email Address
Phone Number
Fax Number
Web site or Web presence (Kindly provide URL)

  Would you like to add your link to our "Links" page? Yes No (you must have a Web site)

Course Title
Course Description
Please provide a short description of your proposed course


Ideally my course works best when delivered:
Daily Weekly Bi-weekly Monthly Other (Specify )

The length of my course is lessons.

I can produce this entire course within this time frame:
The next month

The next two months

The next three months

Other (please specify)

Potential content providers must have strong writing skills and experience. A strong web presence and article or book publishing credits a plus.

Are you currently selling your ecourse or ebook(s) elsewhere?
Yes No
If Yes, where? For how much?

Have you authored a book? If so, please provide title(s) and publisher:


Have you published articles?
Yes No

If so, are they posted online? Please provide link to page:


If they are not published online, please list publication names and issues where your articles may be found.



Your Educational Degrees/Credentials

Short biography highlighting relevant professional experience. This is for Web site posting. You will have the opportunity to edit this prior to Web site posting.


Where did you hear about us?
If Other, please specify:

Comments/Questions?



Additional information for Content Providers





An auto-response confirmation and a copy of your proposal application will be
forwarded to you via e-mail upon submission.

Thank you for your application!