II Week Guest Blogger Submission

First Name Required Question

Last Name

Email Address Required Question

Title/Profession

Organization

Street Address

City

State

Postal Code

Country

Phone Number

Website

2. Approximately how long have you lived with a chronic illness and at what age were you diagnosed? Required Question

Years with illness:
Age diagnosed (or age illness first occured):

3. Your illness(es)

These will not be listed in your blog posting unless you include it in your bio. If we quote you in a press release, we may say, "Joann, who has lived with lupus since 1995 say..." Required Question

1
2
3
4
5

4. I understand that my blog post cannot be a review of an item, an obvious sale message. I also understand this is just an application to have my blog considered for publication on the II Week blog web site; there is no guarantee of it being published. Required Question

I agree

5. Paste your blog posting below. It should be interesting to read. Please do a spell check for us! It needs to mention the phrases "invisible illness" and "chronic illness" at least once each. Required Question

6. Please provide your bio in about 150 words, written in 3rd person. It's okay to mention your blog, book, web site and provide 1 URL. Do not copy and paste a resume, please! Give us the highlights! Required Question

7. If you'd like to upload a photo of yourself, or something pertinent to your blog, we will consider using it. Please keep it under 350x350 pixels.

8. My blog contains the phrases "invisible illness" and "chronic illness" at least once each. Required Question

yes

9. Please finish the sentence...
"National Invisible Chronic Illness Awareness Week is...

(worth celebrating)(important)(necessary)(helpful), etc."

This will be posted in your blog at the bottom and we may use it in our media releases as well. Required Question

10. Will you be able to post a blog about Invisible Illness Week on your own blog Sept 14th? (most blog software will let you post in advance!)
Required Question

	yes
	no

11. Don't forget to add our Invisible Illness Blogging Badge to your web site as well as our widget that has all of our blogs postings!

We'd also appreciate it a lot if you would confirm your committment to blog for II Week at Bloggers Unite [will open in new window] so we can keep in touch with everyone blogging for our cause.

	I plan to download and add the badge to my blog
	I plan to add the widget to my web site/blog
	I plan to sign up at Bloggers Unite for II Week!

12. If you have something you would be willing to donate for us to give away, such as a consulting session, product, or book, please list it below (thanks!) We will be giving away prizes to people who are randomly selected when they help us fill out surveys, etc.

13. If you are on Twitter, what is your address? We'd love to follow you from invisibleillwk and hope you will follow us too!

Please add this below so we can click on it quickly: http://www.twitter.com/YOUR-TWITTER-NAME

14. Are you on Facebook? If so, be sure to join our cause for Invisible Illness Week!

	Great, I will join
	I'm not on Facebook
	I am on Facebook, but would rather not join the cause

15. Are you on Facebook? If so, be sure to join our cause for Invisible Illness Week!

	Great, I will join
	I'm not on Facebook
	I am on Facebook, but would rather not join the cause

16. Comments/suggestions: