Wesleyan Writers Conference 2016 Registration Form If you have questions, please contact Anne Greene, Director - agreene@wesleyan.edu 860.685.3604 Mailing address: Wesleyan Writers Conference, Wesleyan University, 294 High Street, Room 207, Middletown, CT 06459 Dr. /Mr. /Mrs. /Ms. ________________________________________________________________________ _______________________________________________________________ Title (circle one) First Name Last name _________________________________________________________________________________________________________________________________________________________________ City State Country Zip/ Postal Code _______________________________________________________________________________________ Email ___________________________________________________________________ Phone Writers conference Fees - June 15-19, 2016 One-Day Festival FEES - June 18, 2016 ____ $100 Deposit - due at registration for either the conference or festival. It holds your place. Remember to deduct from any balance due! ____ $850 Tuition (includes optional manuscript consultation) ____ $225 One-Day Festival (includes lunch & dinner) ____ $275 Meals on campus (optional) ____ $50 Lodging on campus Friday night ____ $170 Lodging on campus (optional) ____ $50 Lodging on campus Saturday night ____ $100 Manuscript consultation To pay by check - make check payable to: Wesleyan Writers Conference and mail to address above To pay by credit or debit card, please see payment options at www.wesleyan.edu/writing/conference/registration.html Please note: if your attendance at the conference is contingent on your receiving financial assistance, you do not need to send the $100 deposit with your scholarship or fellowship materials. If you choose to submit the $100 deposit it will: 1. hold your place at the conference 2. guarantee you a manuscript consultation 3. be applied to any balance not covered by your award. Scholarship / Fellowship applications & Genre: ____ Fiction ____ Poetry ____ Nonfiction ____ Davidoff Journalism Scholarship/Fellowship applications to be emailed to agreene@wesleyan.edu. Due date March 18, 2016. I am applying for: ____ a scholarship ____ a fellowship ____ both a scholarship and a fellowship Manuscript Consultation – Genre: ____ Novel ____ Short story ____ Poetry ____ Nonfiction ____ Journalism Manuscript is to be mailed – address above. Due date May 27, 2016 Please note: you may apply for a Scholarship and/or Fellowship in one genre and submit a manuscript for consultation in a different genre. How did you hear about the Wesleyan Writers Conference? ____ Brochure ____ Newspaper ____ Magazine ____ Website search ____ Facebook ____ Twitter Name of the publication or the web address: _____________________________________________________________