APPLICATION FORM FOR WRITER/EDITOR-IN-RESIDENCE POSITION KATHARINE SUSANNAH PRICHARD FOUNDATION INC

I wish to apply for the Katharine Susannah Prichard 2010 Young Writer or a 2011 Writer/Editor-in-Residence position.

Category of writer/editor residency being applied for (please circle relevant category and year):

ESTABLISHED / EMERGING / YOUNG / 2010 / 2011

 
Name:

Address:

Postcode:

Home No:

Work No:

Fax no:

Email:

• 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 This sample may be published or unpublished material;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