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West Coast Writers Conferences Logo and Type
Scholarship Application Form 
Title of Event:
First Name:
Middle:
Last:
Badge Name:
Address:
City:
State (Abr):
Zip Code:
Phone:
(required) E-mail:
Areas of Interest:
Please select one to help us assess which track you are likely to attend. Yes, you may change at any time.
Works Written:
Level of Expertise:
Aspiring (you have the desire / interest in becoming a writer)
Active (you currently write and have works-in-progress)
Accomplished (you are a published or self-author, paid writer, etc.)
 

Name of Sponsor:

Sponsoring
Organization:
Please state why you believe the applicant is a worthy scholarship recipient to this conference: