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1. NJSCBWI Editor/Agent/Art Director File Form

New Jersey SCBWI File Form for Editors, Agents, and Art Directors

We are scheduling for future events. If you have attended any of our events in the last 18 months, we most-likely have your information on file and do not have to fill this out. Though it would be a nice way to remind us that you would like to come back if you want to fill it out, but not really necessary. Otherwise, if you would like to be considered for any of our events, please fill this out.  Printable form link at bottom.

Name:_____________________________________________________________________
Title:____________________________________________________________________
Address: _________________________________________________________________
Phone number:_____________________________________________________________
Email:____________________________________________________________________
Submission guidelines:________________________________________________________
________________________________________________________________________________

Please provide a yes or no as far as your interest in the following (feel free to add qualifiers, such as yes to fantasy, but not high fantasy, or yes to historical fiction, but curriculum-related only)

Picture Books:
Rhyming Picture Books:
Board Books:
Easy Readers/Chapter Books:
Middle Grade:
Young Adult:
Nonfiction:
Graphic Novels:
Historical Fiction:
Fantasy:
Edgy:

Bio: ________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Please attach a photo of yourself that we can use.
_____________________________________________________________________________

I would be interested in the following events:

First Page Sessions (held during the week 4-8 pm. includes dinner). Yes _____ No _______

Mentoring Workshops (held on Sundays – requires 8-9 up to 30 page manuscript one-on-one critiques). Yes _________ No __________

Writer’s Retreat (small weekend event held in October 8-9 one-on-one critiques). Yes ____ No _____

Illustrator Days (group of 10 illustrators – pre-day assignment) Yes _____ No ______

Annual Conference Yes ______ No ______  (Friday afternoon 4 PM to Sunday 3pm – ten to eleven, 15 page critiques or six 30 minute consultants, plus editor or agent workshops or first page sessions. Agents need to be available agent pitches and an agent panel). ____________________________________________________________________________________
I am available for the June 8th, 9th and 10th 2012 Conference and would like to be considered: Yes _____ No ______

Editors who can conduct a 45 minute workshop about writing receive higher placement on our conference potential list.

I would be able to conduct a workshop during the conference. Yes_____ No_______

What would you be able to present?______________________________________________

Title of workshop: __________________________________________________________

Description (Please attach outline if necessary) of workshop in 150 words or less:_______________<

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