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2008 Hurston/Wright Creative Writing Intensive Application

Please print this form, complete it, and mail it to the address below.
Submission Deadline: May 9, 2008. (This entry form may be duplicated.)

Submit two (2) copies of a double spaced writing sample typed in 12 pt. font along with
this application and a $10 money order

Student Information

Last Name _______________________________________________________________

FIrst Name_______________________________________________________________

Address _________________________________________________________________

City_______________________________________ State______ Zip Code____________

Phone____________________________________E-mail__________________________

Date of Birth____________________Male___Female___

Name of School ______________________________________________________________

Address _________________________________________________________________

City_____________________________________ State_____ Zip Code_______________

Phone_________________________________________

Grade Level (as of May 2008)_________________________


Parent/Guardian’s Information

Name___________________________________________________________________

Address _________________________________________________________________

City_______________________________________State_______Zip Code____________

Daytime Phone ___________________________________________________________

Evening Phone____________________________________________________________

E-mail Address ____________________________________________________________


Writing Sample Information

Title of Work________________________________________________________________

No. of Pages_______________

Workshop Choices (Check One)

Nonfiction (memoir/biography/autobiography/essay) Poetry (A&B) (including spoken word)

Fiction (prose/short story/novel/novella) Playwriting (dramatic scenes written for the stage)

Have you attended Hurston/Wright Workshops before?
Yes Year(s) attended:_________________________
No

How did you find out about this workshop:
Teacher Internet
Guidance counselor Other _____________________________________

Have you been published?
Yes Book Magazine Periodical Newspaper
No

Have you done volunteer services?
Yes (If yes please list at least 1)____________________________________________________
No


Last book read for pleasure__________________________________________________________

Your Hobby(s)_____________________________________________________________________

Parent/Guardian of _____________________________ approves of the submission of this application and agrees that the decision of the Hurston/Wright Foundation and or judges will be final as to all matters, including eligibility, timelines of submission, and compliance with these entry rules and those of the Hurston/Wright Foundation.

Parent/Guardian Signature_______________________________________________Date____________

Print_______________________________________________________________________

Hurston/Wright
Creative Writing Intensive
6525 Belcrest Road Suite 531
Hyattsville, Maryland 20782
Ph. 301-683-2134
Email info@hurstonwright.org – Website www.hurstonwright.org