Emerging Diné Writers' Institute Registration Form
Dates: July 15-18, 2019
Location: Navajo Technical University, Crownpoint, New Mexico
Contacts: Lemanuel Loley, Co-director
Navajo Technical University
emergingdinewriters@navajotech.edu

Purpose: The Emerging Diné Writers' Institute will motivate and expose high school and college students and the public to Navajo authors and publishers. Participants will improve writing skills, gain exposure to various writing genres and forms, and create an interest in becoming a writer.

Everyone is welcome to attend the public agenda on July 15-18, 2019.
Full name *
Your answer
I identify my gender as... *
Mailing address (city, state, and zip code) *
Your answer
Email address *
Your answer
Reliable phone number (including area code) *
Your answer
Which Navajo Nation chapter are you from? (city and state; for non-Navajo participants, please enter N/A) *
Your answer
Education (choose one) *
If you are a current high school student, which school are you attending? (high school name, city, and state)
Your answer
If you are a current college or university student, which institution are you attending? (college name, city, and state)
Your answer
If you aren't currently in school, please select one (or more) of the categories below that best describes you: *
What is your age group? *
For high school/mid school students only: what do you want to study in college?
Your answer
For college/university students only: what is your current academic major?
Your answer
If you are currently in high school, which year are you in school?
If you are currently in college, which year are you in school?
If you aren't a student, which organization are you affiliated with? Be specific.
Your answer
In a single, well-worded sentence, please tell us why you are interested in attending the Institute? (Note: please use complete sentences. No one word answers.) *
Your answer
How did you hear about the Institute? Check all that apply. *
Required
How else do you think we should advertise the Institute? *
Your answer
Electronic signature (full name and date): by signing this, you agree to attend the Institute and attest to the truthfulness of your answers. *
Your answer
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