Notable Alumni Form

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.
Your 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.
Address
Please 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 Country
Is this a new address or email address?*
- No
- New Mailing Address
- New Email Address
Your Email*
Your Website (if you have one)
Website of the person you are nominating
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.
Photo Credit:
Notes: Please tell us any other information you think we should know.
We'd love to hear from you!
Name
This field is for validation purposes and should be left unchanged.

Notable Alumni Nomination/Invitation