2017 SummerWords Scholarship Application Form
DEADLINE: 5 p.m., Thursday, MAY 17, 2017.

Thank you for your interest in a scholarship to SummerWords 2017 at American River College, Thursday May 25 through Sunday May 28, 2017.

Each year, we reserve a number of free tickets for applicants who seem the most likely to benefit.

Please fill out this form carefully and thoughtfully. You will not be able to edit the form after you submit it, so please take your time filling it out.

If you have problems, questions, or concerns about this application, please contact Professor David Merson at MersonD@arc.losrios.edu.

We gather contact information only for SummerWords correspondence. We do not share your information with anyone else.

If you want to know more about this year's event, visit www.SummerWords.org.

ARC Student?
Required
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
Apartment No. or Additional Address Info
Your answer
City
Your answer
State
Zip
Your answer
Email Address
Please type your email address very carefully. You will be notified of acceptance only through this email.
Your answer
Retype email address
Please retype your email address.
Your answer
Phone
Please use this format: (area code) ###-####. Provide us the best number to reach you for urgent matters. Note: we communicate primarily through email.
Your answer
Personal Statement
Judging in part on an applicant’s commitment, participation, eagerness, and readiness, we award SummerWords scholarships to American River College students who seem most likely to benefit. Depending on availability, we may award some scholarships to alumni and community members. In 500 words or less, please tell us about your interest in attending SummerWords. You might describe your writing background, education, experience, or goals. You might describe what is important to you about SummerWords or what you hope to bring to the SummerWords community.
Your answer
Have you received a prior SummerWords Scholarship?
A yes or no answer does not affect your eligibility.
Required
Optional: Writing Education or Achievements
List any creative writing classes that you have taken at American River College or elsewhere (and please name the ARC professors). Tell us about any publications or other kinds of recognition you have won for your writing.
Your answer
Times you will attend
Please check all the times you are committed to attending. If you plan to attend all the times, check only the first option.
Required
Student I.D. number.
If you are a current student, please supply your American River College Student I.D.#. (Do not include w.)
Your answer
Additional Comments
Please let us know any other relevant questions or details not otherwise covered above.
Your answer
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