Mentorship Application - Wild Writers Literary Festival

Wild Writers Mentorship Program Application

Applications are due by Monday, November 15 at 11:59 PM EST.

Getting to Know You
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is your mailing address different from the above address?
- Yes
- No
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Writing Sample and Project Description
Brief Synopsis*
Attach a brief description / synopsis of the project you intend to work on (maximum 350 words). Files must be in .doc, .docx, or .pdf format.

Accepted file types: doc, docx, pdf, Max. file size: 300 MB.
Manuscript Sample*
Attach a sample of your manuscript (maximum 2000 words). Files must be in .doc, .docx, or .pdf format.

Accepted file types: doc, docx, pdf, Max. file size: 300 MB.

Payment and Bursary Options
Payment*
Enrolment in the Wild Writers Mentorship program costs $150, which is due upon confirmation of your acceptance in the program. Placements will be confirmed by November 23rd. Bursaries are available to writers who face significant financial constraints.
- I acknowledge that my $150 payment will be due upon acceptance into the Wild Writers Mentorship Program.
- I would like to be considered for a bursary to cover the costs of my mentorship, should I be accepted.
Bursary Consideration*
How would the bursary program support you and your creative development?
Questions or Comments
If you have any questions or further information you would like to provide, please describe below.

	Helen Humphreys (Fiction / Nonfiction)	Pamela Mulloy (Fiction)	Susan Scott (Nonfiction)	Andrew Westoll (Fiction / Nonfiction)
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