Writing Workshops Application | Bryn Athyn College

Which writing workshop are you planning to attend? *

Applicant Information:

First Name *

Last Name *

Address 1 *

Address 2

City *

Zip / Post Code *

Phone *

Email *

Emergency Contact Information:

First Name *

Last Name *

Relationship *

Phone *

Please use the space below to tell us about any health/allergy/dietary or physical needs/conditions:

Are you eligible for the Bryn Athyn College Scholarship? (Have you been or will you be enrolled at Bryn Athyn College in 2019/2020 calendar year?)

yes
no

If accepted, do you understand that once you have paid your 50% deposit, (by June 1, 2019) there are no refunds for cancelations (after July 1, 2019)?

yes
no

Would you like to be considered for this scholarship?

yes
no

Are you eligible for the Donald O. Kistner half scholarship? (For unpublished female applicants only)

yes
no

I have or will shortly send my writing sample submission (as instructed on the webpage of my workshop of choice) *

Summer Writing Retreats Application

Applicant Information:

Emergency Contact Information: