2022 Teen Writers Workshop Application/Waiver

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Note: A parent will need to sign off on the application below. Please complete this application in full. You will be notified of acceptance into the program via wklawren@ncsu.edu by email along with a link to pay the tuition.

Name of Writer *

What size t-shirt does your teen writer wear? *

Youth large

Adult small

Adult medium

Adult large

Adult extra large

Grade Entering Next Fall (2022) *

Writer's course preferences? *

Please select 3 from Fiction, Poetry, Genre fiction, Dramatic writing, Intro to Creative Writing, Creative nonfiction, or Special Topic Fiction (you will be placed in 2 classes).

11/12th grade Intro to Creative Writing/ Poetry

11/12th grade Poetry / Fiction

11/12th grade Dramatic Writing / Genre Fiction

11/12th grade Creative Non-fiction / Poetry

9/10th grade Creative Non-fiction / Fiction

9/10th grade Fiction/ Poetry

9/10th grade Genre Fiction / Dramatic Writing

9/10th grade Poetry / Genre Fiction

Other:

Required

Date of Birth *

YYYY

Gender Identity *

Name and city of school attended *

How did you hear about us? *

Are you a returning Young or Teen Writer? *

YES

Teen Writer Email *

Parent/Guardian Name & Email *

Parent/Guardian Phone *

Home Address *

Emergency contacts and phone numbers (please provide 2 contacts) *

Please note any learning habits that may be effective in helping your writer get the most out of their creative experience with us this summer (optional)

In the space below, please describe your creative work and interests in writing, and tell us about how you would like to improve your writing. *

Check ONE or NEITHER of the following:

I do NOT agree to photo/media use for any public release by NC State, including photo/media use for the printed end-of-workshop anthology (I do not want my child’s photo/media to be used in the printed anthology or anywhere else).

Check only if: I do NOT agree to photo/media use for any public release by NC State, EXCLUDING photo/media use for the printed end-of-workshop anthology (my child’s photo/media can be used in the printed anthology, but not anywhere else).

Clear selection

Electronic Signature of Parent/Guardian agreeing: I understand that this is a legal document which is binding on me, my heirs and assigns and on those who may claim by or through me. I am eighteen years of age or older, and have full capacity to enter into this agreement and do so voluntarily. I HAVE READ THE FOLLOWING AGREEMENT, I UNDERSTAND IT AND I AGREE TO BE BOUND BY IT. *

TWW Waiver Page 1

TWW Waiver Page 2

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of North Carolina State University. Report Abuse

Forms