2017 Creating Worlds Workshop Diversity Scholarship Application Form
Complete this form to begin your application for a Diversity Scholarship to the 2017 Creating Worlds Workshop with Roshani Chokshi and Tessa Gratton. Scholarships cover the cost of a bunk in a shared room, all meals during the event, supplies and administration fees. Participants are responsible for their own travel.

You will receive an automatic email confirming submission of this form. Please note: your application is not complete until you submit your 1-page statement of interest and 5-page writing sample. Both should be submitted as Word documents directly to madcapretreats@gmail.com.

If you have any questions, please contact us at the same address.

LAST Name
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FIRST Name
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Email Address
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Age (you must be 18+ to attend)
Your answer
Gender Identity
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Race/ Ethnicity (you may choose not to answer this question):
Your answer
Have you previously published or self-published novel-length fiction?
If your answer to the previous question was yes, please list your published novels:
Your answer
By signing your name below you acknowledge that you are submitting a 5-page writing sample voluntarily and agree to hold harmless the agents of Madcap Retreats/ Hotspur & Co., LLC who will review those pages. Please type your full name below. Applications without a full name will not be considered.
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