Online Application Writing Workshops Application Please complete the following online application. If you have any questions or experience technical difficulties please email staff@CollegevilleInstitute.org. NOTE: Once you select a workshop title from the drop-down list below, the corresponding application fields will be displayed. Workshop InformationWorkshop title*Please choose the title of the workshop that you are interested in applying for; once you choose a workshop, the correct fields will populate in the application below.Writing Spirit, Writing Faith: A Week with Mary Potter – Monday, October 2 – Sunday, October 8, 2017General InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Suffix Preferred first nameEmail*All communication from the Collegeville Institute will be through email. Please list the address to which you'd like the correspondence sent. Enter Email Confirm Email Current mailing address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country GenderHome phoneWork phoneCell phoneWhat interests you about attending this workshop?*Tell us something about yourself beyond what we learn from your resume.*Describe the context of your ministry.*Tell us something about your own experience in writing.*Writing sample*We request a writing sample of 750-800 words on a topic drawn from the news, whether in science, history, art, or popular culture. The piece can be previously published, from a personal blog, or written specifically for this application. Drop files here or Writing sample*(2,000 words or less, recent work) Drop files here or Writing sample*(15-20 double-spaced pages of prose, recent work, please do not submit sermons or blog posts) Drop files here or Précis of Work to Revise250-500 word summary of the piece (can be a long essay or two, a substantial portion of a book, or an entire book manuscript) that you plan to revise during this workshop.Resume or C.V.*Please provide us with a current resume or c.v. Drop files here or Scheduling conflicts?Please double-check your calendar regarding the workshop dates you have chosen. The first and last days serve as travel days to and from the workshop location. We expect all participants to join in the full length of the workshop. Do you have any scheduling conflicts that would prevent your full participation? If so, please note here.How did you hear about the Collegeville Institute Writing Workshops?Referral from a past Collegeville Institute program participantI am a past Collegeville Institute program participantThe Christian CenturyAmerica MagazineCommonwealPoets and WritersSojournersAmerican Academy of ReligionEmail/newsletterFacebookTwitterColleagueFamily or friendWebsite/search engineOther (please list below)OtherIf you answered "other" to the question above, please include details here.What Collegeville Institute program did you attend previously?Please list the name and year of all writing workshop, academic residency, fellows or seminar programs you have participated in at the Collegeville Institute.