Notable Alumni Form Notable Alumni Nomination/Invitation Is this for you or are you nominating a friend?*Please let us know if you are filling this out for yourself or nominating a friend. If you are nominating a friend, please give us her or his name, email address, and publishing details in the notes field below.This is for myselfNominating a friendYour Name* First Last Name of Person You Are Nominating* First Last Nominee's Email*Please give us the email address of the person you are nominating. Website of the person you are nominating AddressPlease verify your address for our mailing list. We'd like to keep in touch with you. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is this a new address or email address?* No New Mailing Address New Email Address Your Email* Your Website (if you have one) I attended...*check all that apply Writers Workshop Poetry Workshop Screenwriting Workshop Writing the Medical Experience Art of the Wild Years that you attended.* Please format as: '02, '03, '15. If you are unsure of the year(s), please let us know at the bottom of the form, and we will verify. I am a...* participant staff and also past participant Notes*Please tell us something about the person you are nominating.Please provide a 150 word (max) bio, see guidelines below:*Please compose your bio in third person and use complete sentences, following the format of the examples on our website. Please avoid marketing language like "critically-acclaimed" or award-winning". However, if you would like to mention specific awards, that would be appropriate. Please limit your bio to 150 words. We include • publishing credits • awards • similar writing-related achievements Include titles, periodicals, publisher, and publication dates, as relevant. The final sentence of the bio should read: "She/he attended the Community of Writers in _________" (And indicate the year(s) attended.) If you can't remember the exact date(s), please indicate below and we will verify. Please upload a publicity photo:Note: we will resize and reformat to black and white.Accepted file types: jpg, Max. file size: 50 MB.Photo Credit: Notes: Please tell us any other information you think we should know.We'd love to hear from you!PhoneThis field is for validation purposes and should be left unchanged.
