2019 Writers Well Youth Fellowship Application
Thank you for choosing to trust us with your work! We look forward to meeting you through your application and will follow-up once we have completed our review process. Writers Well Youth Fellowship pursues healing for justice, nurturing the voices of girls who are Black writers.

We do not condone homophobia, transphobia, or seek to control young adults. We believe that their healthy expression is beneficial to our world. Our goal is to work with Black girls, across the femme and gender spectrum, within South Carolina who are writers! You write? Let's go!

Email address *
Your Name (First & Last Name) *
Home Address (Please include city & zip code) *
Home Phone #
Cell Phone #
What school, college, or adult education program do you attend? *
What grade/year are you? *
Who is your guidance couselor or academic advisor? *
Parent/Guardian Name (First & Last Name; You may include more than one parent/guardian name.) *
Parent/Guardian Email Address (You many include an email address for more than one parent/guardian.) *
Parent/Guardian Home Address (You may include an address for more than one parent/guardian.) *
Parent/Guardian Home # (You include a phone number for more than parent/guardian.) *
Parent/Guardian Cell # (You may include a cell # for more than one parent/guardian.) *
Which writing genres do you enjoy? *
Are you planning to attend college? *
What are the top three (3) colleges or universities you are considering attending? *
What do you hope to gain from the Writers Well Youth Fellowship experience? *
This is an overnight retreat that will take place on a college campus in Spartanburg, SC from Wednesday, Aug. 1st - Saturday, Aug. 4th. Are you available on those dates? *
How did you find out about Writers Well Youth Fellowship Retreat?
Please attach at least two writing (written or performed) samples in audio, video, .doc, .pdf or .pages format. Be sure your writing samples have your name on each page and your pages are numbered. Writing samples can be from any genre, i.e. poetry, short stories, fiction, essays, nonfiction, plays/films, and TV shows. *
A copy of your responses will be emailed to the address you provided.
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