The Spoleto Writers' Workshop

APPLICATION FORM

Application and manuscripts to:

Rosellen Brown
Spoleto Writers' Workshop
5421 S. Cornell Ave., Apt. 16
Chicago, IL 60615

Copy of application form to:

C. J. Everett
Spoleto Arts Symposia
PO Box 24287 Christiansted

St. Croix, VI 00824

Tel/Fax: 340-773-0073
e-mail: clintoneve@aol.com

Please print this form

Full name:___________________________________________
Sex: _____________ 
Pen name or Nickname: _______________________________
Mailing Address: _____________________________________
Street: _____________________________________________
City: ___________________State: __________ Zip: ________
Country: ___________________________________________

Mailing Address is valid until: ___________________________

Daytime Phone Number: ______________________________
Evening Phone Number: ______________________________
E-mail Address: _____________________________________

Date of Birth:  ___________________  Age: ______________

Citizenship: ________________________________________
If not a U.S. citizen, visa type: ________________________
First Language: ____________________________________

I am applying in
 Poetry
 Fiction
 Creative Non-Fiction

Please briefly describe your history as a writer:
 

 

 

 

 

Please briefly discuss your goals for this Workshop - what you would hope to accomplish.
 

 

 

 

 

I would like to participate in Italian language classes and believe my level to be:
Beginning
Intermediate
Advanced

 

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Spoleto Arts Symposia
PO Box 24287 Christiansted

St. Croix, VI 00824

Tel/Fax: 340-773-0073
e-mail: clintoneve@aol.com

Please contact our office for current tuition and fees.