Whidbey Island Writers Conference

Student Scholarship Application
You may complete this application form online and print it with your browser's Print button.
Name:       Date of birth:
Address:
City:            State:   Zip:
Phone:      email:
School: Grades 9-12   College/University    Running Start Program
Address:    Phone:
Online Writing Program Name:    Instructor's email:
On a separate sheet of paper,  write a statement of no more than 100 words explaining why you wish to attend the conference and what benefits you hope to receive.  DO NOT PLACE ANY IDENTIFYING INFORMATION (signature, name, address, school, etc.) ON THIS STATEMENT OR ON YOUR CONTEST SUBMISSION.
Type of Original Work Submitted
Prose        Total number of words submitted (maximum 1,500)
Poetry   Total number of lines submitted (maximum 75)        
Mail to:
WIWC Student Scholarship
Whidbey Island Writers Association
P.O. Box 1289
Langley, WA 98260
Applications must be postmarked by Oct. 31, 2007. Students will be notified by Nov. 28, 2007.
 
I certify that I am the author of the submitted work, and that I have read and understand the requirements for consideration for the WIWC Student Scholarship.
Signature:    Date:
 
I certify that I have read and understand that the scholarship covers the $375 WIWC tuition, which includes two lunches. I also understand that transportation to and from Whidbey Island and conference activities, lodging, meals (other than those included), and incidentals are the student's responsibility.
Signature:    Date:

(parent/guardian if applicant is under age 21; applicant if age 21 or older)
 
I certify that the above-named scholarship applicant is currently registered as a student in good standing at:
(high school/college/university)
Principal/Registrar Signature:    Date: