Exit Copy of 100 AA Children's Book Authors App. Ages 13-17 Question Title * 1. What is your contact information? Name * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country * Email Address * Phone Number * Question Title * 2. How old are you? Question Title * 3. What grade are you in? Question Title * 4. Why do you want to be an author? Question Title * 5. What are your hobbies? Question Title * 6. How often do you read? 20-30 mins a day 30 minutes or more a day Reading as required by school Once or twice a week Almost never I don't know Question Title * 7. If I am selected to participate in this writing opportunity, I will ensure that I watch the provided videos and speak with my Advisor as needed? Yes No Question Title * 8. Do you have any special needs that may act as a barrier to completing this writing assignment? If so, what are they? Question Title * 9. Please select one of the following writing forms that you would be interested in writing in for this book project. After selecting your writing form please email a one page double spaced writing sample focusing on the topic, social injustice. You can write about how it makes you feel, a possible solution to social injustice, or you can be creative. Once you write your 250 - 500-words story email it to 100aaca@gmail.com by Friday, October 2nd, 2020 by 5 pm. Short Story Poetry Essay Question Title * 10. What is your ethnicity? Done