APPLICATION TO THE 2012 PROGRAM
Napa Valley Writers’ Conference * www.napawritersconference.org

 
Applications to the 2012 program will be considered beginning March 1. 

Scholarship applications are due no later than April 1.


Name: 
	
Address:


City, ST, Zip:


Home telephone:


Work or mobile telephone:


Email Address:


APPLICATION CHECKLIST:

_____ I have enclosed a qualifying manuscript titled:


_____ I have enclosed a brief statement of my background as a writer.

_____ I am applying for a scholarship and have enclosed my letter of need.

_____ I have attended the Conference before, during year(s): 

_____ I have applied to the Conference before, during year(s): 

_____ I have been accepted to the Conference twice in the past and am not applying for a scholarship; I am not sending a qualifying manuscript or reading fee.

 

WORKSHOPS: 

Please choose either the poetry or fiction workshops and indicate your first (1), second (2), and third (3) choices:

Poetry                            
___ Eavan Boland	
___ Forrest Gander	
___ Brenda Hillman	
___ Arthur Sze 

Fiction
___ Kevin Brockmeier
___ Ron Carlson
___ Lan Samantha Chang
___ Tayari Jones


PAYMENT: 

A $100 tuition deposit and a nonrefundable $15 reading fee are due with your application. (If you’re a past participant omitting a qualifying manuscript, only the $100 deposit is due.)

If you are accepted into the program, your $100 tuition deposit will be credited as a nonrefundable payment toward tuition total of $900. For those not admitted to the program this year, the deposit will be returned.

___ I have enclosed my $100 tuition deposit
___ I have enclosed my $15 reading fee
___ I will call with my credit card information (707-967-2903)
___ Please charge $ ________ to my  ___  VISA or ___ Mastercard
Card Number: 

Name on card: 

Expiration Date: 
 

Please email your completed form and the required attachments to:
writecon@napavalley.edu

Or print and mail to:
Napa Valley Writers’ Conference
Napa Valley College * 1088 College Avenue * St. Helena, CA 94574
Fax 707-967-2909 * Phone 707-967-2900 x1611