Emerging Writers Program Application Emerging Writers Mentorship Program Are you currently enrolled in an MFA program? Check yes or no.*Participants are not eligible if they are currently enrolled in an MFA program. Yes No Have you published a book? Check yes or no.*Participants are not eligible if they have previously published a book. Yes No General InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. 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Please list the address to which you'd like the correspondence sent. Enter Email Confirm Email Gender/Preferred Pronouns Primary phoneSecondary phoneOne-page statement of writing goals and why you consider yourself an “emerging writer”*Please state clearly your personal goals and why you are a good candidate for this program. *(send by pdf or Word document) Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 50 MB, Max. files: 4. Writing samples**(2 short-form essays, 800-1200 words each) *(send by pdf or Word document) Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 50 MB, Max. files: 4. Resume or C.V.*Please provide us with a resume or c.v. and indicate whether you are currently enrolled in an academic program *(send by pdf or Word document) Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 50 MB, Max. files: 4. Tell us something about yourself beyond what we learn from your resume.*Photo (optional)*(send by jpg, jpeg, png, tiff) Drop files here or Select files Accepted file types: jpg, jpeg, png, tiff, Max. file size: 50 MB, Max. files: 4. If accepted into this program, can you commit to the following:*(1) Attending the Monday, September 19 - Thursday, September 22, 2022 in-person workshop in Collegeville, MN. (2) Post-workshop mentorship (includes virtual meetings from October 2022 - May 2023). This includes meeting 3-4 times with a mentor approximately every two months, plus the time dedicated to generating, developing, revising, and polishing three total essays. Yes No Covid-19*I understand that we are in a fluid public health situation. If the in-person workshop is unable to proceed, I am willing to attend it virtually. Yes No If accepted, I am willing to work with either mentor.* Yes No If no, please explain your thoughts.Please note that we cannot guarantee preferences in your assigned mentor.Did you apply for a 2022 Collegeville Institute writing workshop? If so, which one(s)? How did you hear about this Collegeville Institute program? Are you a past Collegeville Institute program participant?If so, please list the name and year of all writing workshop, academic residency, fellows or seminar programs you have participated in at the Collegeville Institute. Demographic InformationThe Collegeville Institute strives to create programs and services that represent the full diversity of the human community. In addition, we strive to provide an environment in which every member of our community experiences a sense of belonging. We ask the following demographic questions to help ensure that we meet these goals and to get to know you better. The following questions are optional.Country of CitizenshipIf you prefer not to answer, please leave this answer blank. Date of Birth(MM/DD/YYYY) MM slash DD slash YYYY Which of the following best describes you?Listed in alphabetical order; select all that apply. African American Asian Asian American Black African Latinx/Hispanic Middle Eastern Mixed Race/Multi-racial Native American/Alaskan Native Pacific Islander/Native Hawaiian White/European Not listed here Prefer not to answer What is your present religious affiliation(s), if any?Listed in alphabetical order; select all that apply. Agnostic Atheist Baha'i Buddhist Catholic Christian Hindu Jewish Mormon Muslim Native/indigenous Other/prefer to self-describe Orthodox Christian Protestant Christian Secular humanist Sikhism Spiritual but not religious Prefer not to answer Please self-describe your religious affiliation(s). What type of Orthodox Church do you affiliate with? What Protestant denomination do you affiliate with? Sexual OrientationIf you prefer not to answer, please leave this answer blank. Please describe any disability-related accommodations you need: Is there anything else regarding your identity/identities that you would like the Collegeville Institute to know about you and that would help us deepen your sense of belonging? Δ
