IAWW 2009 Application Form

Instructions: This application form cannot be saved so you should set aside about 20-30 minutes to fill it out completely. There is a 600 word statement required at the end that you can type in a word processing program like Microsoft Word, then cut and paste into our form. Once you have completed the form, we must receive your US$195 application deposit before your application will be evaluated. You will be contacted when your application materials are complete. Pay online or send a check or money order (U.S. dollars only) made out to the International Artists’ and Writers’ Workshops to:

The International Artists’ and Writers’ Workshops
3270 21st Street, #304
San Francisco, CA 94110
USA

 

Full Name:
Email:
Gender: Male Female

Address where you can be reached through December 1, 2008:

Work/School Phone:
Home Phone:
Cell Phone:
FAX:
Date of Birth:
Country of Citizenship:
Occupation:

Educational History (List University background beginning with the most recent institution attended.):

Please indicate your workshop preference:

Fiction          Poetry            Nonfiction

How did you hear about the IAWW?:

Workshops attended, if any:

Publications, if any:

Experience overseas, if any:

Experience in Africa, if any:

Indicate any special dietary requirements (please remember though Accra is a cosmopolitan city, we will be spending a large part of our time in rural areas where food choices are somewhat limited):

Itinerary (Fill in all information known at the time of application. Mail the rest as soon as possible)

Passport #:

Flight Info (ie. arrival date, time, airline, departure date, time):

Personal Statement

Please include a 600 word personal statement indicating

1. your interest in and qualifications for the program
2. your prior experience, informal or formal, with writing workshops, “creative writing” graduate programs, weekend workshops, etc.
3. your interest in and experience with foreign travel and why you’re interested in Ghana
4. how long you have been writing
5. what you hope to get out of the program
6. what writers have influenced your work

(We recommend you cut and paste your statement here from your word processor program):


Recommendation

Please list one recommender who knows you personally and can speak to your suitability for our workshop. This person SHOULD NOT send a letter of recommendation; we will contact them only if necessary.

Recommender name:
Recommender’s email address:
Recommender’s phone number:


Upon acceptance to the program, you will be required to submit a portfolio of work for workshop.

Payment Options:

I am paying by check (mail payment to the International Artists’ and Writers’ Workshops, 3270 21st Street, #304, San Francisco, CA 94110, USA)
I would like to pay by credit card via PayPal (Visa, MasterCard, Discover, and American Express). I understand that an additional US$10 credit card processing fee will be added to my total.**

 **A PayPal invoice will be sent to the email address you provided.
 
Refund and Cancellation Policy: For cancellations received on or before June 1st, 2009, all fees except for the US$195 deposit will be refunded. Participants who cancel after June 1st, 2009, will be charged a US$500 cancellation fee. Once the program begins, no refunds will be made, regardless of whether a participant attends the program. The effective date of cancellation will be the date the written notice of cancellation is received by the program director.

If you have read, understood and agree to the IAWW terms and conditions please enter your initials in the box to the right.


    

 

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