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Tickle,who was with PUBLISHERS WEEKLY until her retirement in 2004, began her career as a college teacher and, for almost ten years, served as academic dean to the Memphis College of Art before entering full time into writing and publishing. In September 1996 she received the Mays Award, one of the book industry's most prestigious awards for lifetime achievement in writing and publishing, and specifically in recognition of her work in gaining mainstream media coverage of religion publishing. In 2007 she received a Lifetime Achievement Award from The Christy Awards "In gratitude for a lifetime as an advocate for fiction written to the glory of God." In 2004, she received the honorary degree of Doctor of Humane Letters from the Berkeley School of Divinity at Yale University. In 2009 she received an honorary Doctor of Humane Letters from North Park University.
Tickle is a founding member of The Canterbury Roundtable, and serves now, as she has in the past, on a number of advisory and corporate boards. A lay eucharistic minister and lector in the Episcopal Church, she is the mother of seven children and, with her physician-husband, makes her home on a small farm in Lucy, Tennessee.