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Reader Interest Form
Thanks so much for your interest in reading with Open Mouth! We are looking forward to learning more about you and your work.
We will respond to inquiries if we’re interested and have availability.
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* Indicates required question
What is your name?
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Your answer
Are you currently on tour or planning to tour in the near future?
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Yes
No
What month were you hoping to read with Open Mouth, if you have a preference?
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Your answer
Please indicate your racial and ethnic identities.
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Your answer
Please indicate your gender identity and pronouns.
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Your answer
Do you identify as a member of the LGBTQIA+ community?
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Yes
No
What accommodations can we offer to make your reading accessible?
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Your answer
Please link us to your website and/or relevant social media handles (or indicate below if you do not have these).
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Your answer
What does community mean to you (in 200 words or less)?
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Your answer
Please tell us about the work you plan to read.
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Your answer
Please paste here or link us to a few poems that represent the work you plan to read (no length requirement).
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Your answer
Do you have a preference for a virtual or in-person reading?
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Virtual
In-person
No preference
Would you be willing to lead a one-hour workshop on the day of your reading?
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Yes
No
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