A Suite of One’s Own Application

A Suite of One’s Own Writer’s Residency at The Roosevelt Hotel

Contact Information

Name: *
E-mail:*
Phone:*
-
Mailing Address:*
Website:
Biography:*
Have you participated in a writing residency before?*
If so, when and where?
How did you hear about this opportunity?*
Please attach a resume or C.V. *

Scholastic Award Information

What type of Scholastic Award did you receive?

Please complete the section below for each award you have received, starting with your National Awards:

Award Type:*
Award Category:*
Year Awarded:*
Add a second award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 2:
Award Category 2:
Year Awarded 2:
Add a third award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 3:
Award Category 3:
Year Awarded 3:
Add a fourth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 4:
Award Category 4:
Year Awarded 4:
Add a fifth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 5:
Award Category 5:
Year Awarded 5:
Add a sixth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 6:
Award Category 6:
Year Awarded 6:
Add a seventh award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 7:
Award Category 7:
Year Awarded 7:
Add a eighth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 8:
Award Category 8:
Year Awarded 8:
Add a ninth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 9:
Award Category 9:
Year Awarded 9:
Add a tenth award?

Please add more award information in the fields below. If you have listed all your awards, please move on to the next section.

Award Type 10:
Award Category 10:
Year Awarded 10:

If you have received more than 10 awards, please enter the total number of awards you have received.

Total Num. of Awards Received:

Statement of Intent

What do you hope to complete or discover by participating in a week-long residency?*

Work Sample

Please attach a sample of work not exceeding ten pages or poems.*

Reporting

Grant recipients are expected to complete a survey provided by the Alliance at the completion of the Residency. Recipients will also be asked to contribute updates, writing samples, and/or social media content to an Alliance for Young Artists & Writers blog-post.

Thank you for your interest in Scholastic Awards Alumni programs!

Recipients will be contacted in April 2018.