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2011 DELEGATE ASSEMBLY

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Division(s)

BizTech Book Journalism

The NWU's organizing efforts are carried out by three divisions, each focused on a specific sector of the publishing industry. Please select the division(s) to which you'd like to belong.

Genre

Academic	Business
Cartoon	Fiction
Inst./Nonprofit	Instructional
Journalism	Juvenile
Labor	Literary/Small Press
Nonfiction	Poetry
Public Relations	Technical
Other

Other genre

If other, please describe.

Formats *

Books	CD-ROM
Magazines	Misc. Copy
Multimedia	Newspapers
On-line	Other

Other format

If other, please describe.

Primary Genre *

Literary Agent

Published *

List all books by publisher, newspapers and magazines by title, and firms or institutions for which you have worked as a writer in the past three (3) years. Please specify year last published for each one.

Participation

BizTech Issues	Book Issues	Cartoon Issues
Fundraising	Office Work	Political Issues
SPIN*	Grievances	Phone Calling
Membership	PR	Newsletter
LBGT Issues	Organizing	Electronic Rights
Journalism Issues	Event Planning	Contract Advice
Diversity	Legislative/Lobbying	Not sure, I need more info.

* African Writers Caucus

Committees

Women's Committee Civil Rights/Diversity Political Issues CAP (Community Action Program)

How did you hear about the National Writers Union?

Gender

Female Male ( unselect )

Year of Birth

Person w/ Disability

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Lesbian/Gay/Bi/Trans

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Race & Ethnicity

African Amer/Black	Asian
Hispanic or Latino	Native American
Pacific Islander	White
Other

Race Other

If other, please describe.