First Name *

Last Name *

Address *

City *

State (abbreviation) *

ZIP code *

Country *

Mobile Number *

Twitter Handle (optional)

Gender *

Race/Ethnicity *

Explain your freelance status in as much detail as necessary for the selection committee to determine your eligibility. (no more than 200 words) *

Describe your project. (200-1,000 words) *

Provide a brief (one to two sentences) description of your project. *

What is the total budget for the project, how much is left to raise, and how do you plan to raise the remainder? *

How do you plan to spend the money if you receive one of the IRE freelance fellowships? *

Where do you hope to publish or air the project? *

Have you discussed publication with any specific outlets? If so, please summarize the conversations. If you have already signed a contract with a publisher or broadcast outlet, please provide specifics. *

If you receive one of the fellowships, when do you expect to deliver the project to a potential publisher or broadcast outlet? *

Sample #1: Provide a link to a sample of your work. If sample has no link, place it in Google Drive or Dropbox and provide link here. *

Sample #2: Provide a link to a sample of your work. If sample has no link, place it in Google Drive or Dropbox and provide link here.

Sample #3: Provide a link to a sample of your work. If sample has no link, place it in Google Drive or Dropbox and provide link here.

Provide link to portfolio website (optional).