APPLICATION FORM FOR WRITER/EDITOR-IN-RESIDENCE POSITION KATHARINE SUSANNAH PRICHARD FOUNDATION INC
I wish to apply for a Katharine Susannah Prichard 2009 Young Writer or 2010 Writer/Editor-in-Residence position.
Category of writer/editor residency being applied for (please circle relevant category and year):
ESTABLISHED / EMERGING / YOUNG / 2009 / 2010
Name:
Address:
Postcode:
Home No:
Work No:
Fax no:
Email:
Please attach the following to this cover page:
- Details of the project you expect to be working on during the residency;
- An outline of your workshop proposal (include title and target audience) [for Established and Emerging writers only; Young Writers may present a workshop if they wish but it is not a condition of residency];
- The names and contact details of 2 referees;
- A letter expressing interest, also giving details of suitability and reasons for applying;
- Your Curriculum Vitae, which should include publication details [and proof of age for Young Writers];
- A sample of current work to the equivalent of ten pages. This sample may be published or unpublished material;
- Stamped self-addressed envelope for return of your material, if required; and
Other information you think may be relevant to your application and which you think the Selection Committee should be advised.
Signature:
Name in Block Letters:
Date:
Address your application to:
The Selection Committee Writer/Editor-in-Residence Positions
THE KATHARINE SUSANNAH PRICHARD FOUNDATION INC.
11 Old York Road
GREENMOUNT
WA 6056
