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Grief & Gratitude Prospective Contributor
Submit this form to be considered for participation in Dr. King's book project with the tentative title "Grief & Gratitude" . This is a self-published project that will share stories of women who have experienced turmoil in their relationship/s or marriages, including any form of abuse. Survivors will share their experiences and provide tools and strategies to help other women heal.

We are only seeking 1-2 authors! Serious submissions only. Prospective Contributors will be contacted with a decision no later than May 10th.
Last Name *
First Name *
Preferred Nickname
Email Address *
Phone Number *
Mailing Address *
Do you consider yourself a person of color? (non-white) *
Are you a member of the LGBTIQIA+ community? *
Have you ever published a book? *
Are you a survivor of a toxic relationship? (emotional, verbal or physical abuse) *
What is your current relationship status? *
What contributions do you think you would you bring to this collection of stories? *
If selected, will you be able to complete your interview in 1-2 weeks? (interviews are 1-2 hours) *
If you’re being mentally and emotionally abused, trust your instincts. Know that it isn’t right and you don’t have to live this way. If you fear immediate physical violence, call 911 or your local emergency services. If you aren’t in immediate danger and you need to talk or find someplace to go, call the National Domestic Abuse Hotline at 800-799-7233. This 24/7 hotline can put you in touch with service providers and shelters across the United States.
Thank you for your interest in this project! You will hear from us soon.
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