Application form for Creative Connections Retreat, Peru, June 10-16, 2018
We are pleased you are interested in our academic writing retreat for women. Please fill out the application to join us in Peru.
Last Name *
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First Name *
Your answer
Affiliation and Title *
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Email address *
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Phone number
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Tentative title of paper you plan to work on during the retreat
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What is your academic discipline?
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Which is your preferred housing arrangement? *
Price varies depending on the room you choose. Rooms are subject to availability.
Please let us know here if there is someone you would like to room with. We will do our best to accommodate your request.
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If you are a past participant or were referred by a past participant, please let us know here.
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Any other comments or questions?
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