Application: 2010 Creative Writing Fellowships in Poetry
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Fill out and return with manuscript to the WAC. For details, see guidelines in previous post. Postmark deadline is June 29, 2009.
NAME: ____________________________
ADDRESS: __________________________
CITY ______________________________
STATE ___________ZIP_______________
LEGISLATIVE DISTRICTS:
House # ___________________
Senate #___________________
CONTACT INFO:
PHONE: ___________________
E-MAIL: ___________________
WEB SITE __________________
___Check here if you enclosed a self-addressed stamped postcard (optional) so we can acknowledge receipt of work.
ARTISTIC STATEMENT
In 100 words or less, on a separate shdeet, please provide us with a brief artistic/biographical statement. This information will not be available to the judge, nor will it affect your application in any way. The WAC will use it in an announcement if you’ve won an award, and in its files of Wyoming writers.
Enclosure checklist
___Manuscript (two copies)
___Signed entry form
___Artistic Statement
___Optional acknowledgement postcard
___Return postage (or provisions for pick-up) for manuscript
I certify that I have been a legal resident of Wyoming for two years, since July 1, 2007, and that I am not a full-time student pursuing high school, college or university art-related degrees. In order to receive this award, I understand I must remain a Wyoming resident until June 30, 2010, and live within the state's borders for at least ten months a year.
Signature______________________________
Date___________________
