My Young Life Matters Part II: Author Application
This application is for the 2022 virtual writing program for children 6–17 years old to contribute to our next anthology of 100 Black children authors. Participants will learn how to write different forms of poetry; receive a one-on-one consultation with a writing coach, edits to their submission, publication in the anthology; and become an award-winning, bestselling author.

The virtual writing workshop will take place on Saturday, Feb. 5th, 2021at 10 AM EST  (attendance is required for one workshop). This COMPLETED application is due ASAP to ensure that your child can participate as this is a first come, first served opportunity. Once received we will send you the Zoom registration.

For more information, visit
Sign in to Google to save your progress. Learn more
What is your name (first and last)? *
What is your race? Please select your answer and check one or more boxes if you are multiracial or biracial: *
If your race was not listed in the previous question, please specify your race:
What is your age? *
What is your phone number? *
What is your parent/guardian's full name and phone number? *
What is your email address?
What is your parent/guardian's email address? *
What is your mailing address? *
How often do you read? *
Why do you want to become an author? *
What are your hobbies? *
If I am selected to participate in this writing opportunity, I will ensure to complete my tasks, read and respond to emails, and speak with my writing coach. Online learning and writing sessions will take place this November. *
Virtual Workshop that you MUST attend *
Are you a member of Baconton Missionary Baptist Church? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy