South'ern Writing Interest Form
 Tell us a little bit about you........                                                       See You Soon!
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Do you prefer email or text messages? *
Email *
Cell Phone number
What are you interested in writing? (Check all that apply)
Are you eventually interested in publishing your work?
Clear selection
If we set up a private Facebook group, would you participate?
Clear selection
HAVE QUESTIONS?     Contact me Vernet (vernetcnettles@gmail.com) or Dr. Steele  (ksteele@southuniversity.edu)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy