Online Application

Professional Name:

First Name: (If different from professional name)

Middle Name:

Last Name:

Address:

City:

State:

Zip:

Country:

Home Phone:

Work Phone:

Cell Phone:

E-mail Address:

Website:

Note: If you are in school or otherwise in transition, please give date that you will be at this address or supply a second address.

2. Application Type and Period

Deadline for 2009 fellowship applications is November 15, 2008

I am requesting:

General Residency

Eureka! Fellowship

Maeve Marie Fellowship

Tyson Foods Fellowship

The Forrest Goodenough Fellowship

Moondancer Fellowship

Although I am applying for a dedicated fellowship, I understand that there are more applicants for these than for general residency. If I do not receive the fellowship, I...

would like to be considered for general residency.

3. Desired Residency Schedule

Residencies are generally for a minimum of two weeks and a maximum of three months. They are scheduled in two-week increments (i.e., 4 weeks, 6 weeks, 8 weeks, 10 weeks, or 12 weeks). Please note your desired time.

First Choice of Dates

Arrive:

Depart:

Second Choice of Dates

Arrive:

Depart:

Length of Residency

4 weeks

6 weeks

8 weeks

10 weeks

12 weeks

Other

If "Other", please tell us the number of weeks:

4. Project Description

Please provide us with a brief description (1-3 paragraphs) of the project you anticipate working on at WCDH.

(If accepted, you are not limited to this particular project).

5. Writing Genre or Genres, Documentation and Training

Please select your 1 to 3 primary areas of work:

Fiction

Novel

Poetry

Plays

Teleplays or Screenplays

Short Story

Children's or Young Adult literature

Other

Non-Fiction

Biography

Memoir

History

Scientific

Environmental

Culinary

Medical or Health

Psychology

Curriculum or Textbook

Other

Journalism

Staff

Freelance

Magazine

Literary Magazine

Newspaper

Scholarly Journal

Songwriting/Composing

Musical / Theatre

Film Score

Orchestral / Symphonic

Opera

Popular Song

Folk

Country

Jazz

Blues

Choral / Vocal

Recording Project / Song Cycle

Other

Please list your instrument(s)

Please list a publication list, including publisher and year published

List your 5 most important professional achievements, beginning with the most recent:

Number 1

Number 2

Number 3

Number 4

Number 5

List any awards, prizes, fellowships and honors you have received

List any relevant professional training

Have you ever resided at a Writers' or artist's colony before?

Yes

If "Yes", please give the location (including phone numbers) and dates

6. References

You are responsible for obtaining two (2) references on the provided WCDH reference forms before your application will be processed. Your references will need to mail the complete Reference Form to WCDH.

For our records, please provide the information below.

Reference Number 1

Name:

Phone:

Address:

City:

State:

Zip:

Country:

Affiliation to you :

E-mail Address:

Website:

Reference Number 2

Name:

Phone:

Address:

City:

State:

Zip:

Country:

Affiliation to you :

E-mail Address:

Website:

7. Work Sample

Your writing sample must be no more than 10 pages, clean and legible, and printed out or photo copied. PLEASE SEND THREE COPIES. If appropriate, indicate where the sample initially appeared and in what form (book, article, etc.), as well as date of publication. Please do not send original or sole copies of your work.

Musicians, please send one sound recording of no more than 25 minutes duration. A non-commercially produced cassette is acceptable. If a CD is submitted, clearly note the selections by number that you wish to be reviewed. Please describe the work samples that you are sending.

Please send work sample along with $35 application fee to:

Writers' Colony at Dairy Hollow
515 Spring Street
Eureka Springs, AR 72632

8. Financial Information

The Writers' Colony at Dairy Hollow is a non-profit 501(c)3 organization, supported by charitable donations from individuals, Foundations, and residents. Actual costs, per resident, per day, at WCDH, are about $120. Dedicated Fellowships cover all costs of a resident's stay; not, however, transportation to Eureka Springs.

Each resident is asked to contribute to the cost of a Colony stay to the extent she or he is honestly able; however, demonstrable talent, self-discipline, and achievement are the only criteria for residency.

If you wish to have Internet service, there is a nominal one-time charge for hook-up. All accommodations can be Internet-enabled.

Please list the weekly contribution you will be making during your residency:

$245

$280

$315

$350

$385

Other Amount:

9. Community Service

For every 30 days' residency at WCDH, each resident is asked to contribute one day's community service within our region. This could be visits to schools, talks to a civic group, readings at a nearby university, or an all-day workshop.

Please describe your ideal audience(s), by interest, profession or age group:

Ideal Events:

When would you prefer to do your community service?
Beginning Middle End of Residency

Upon acceptance, we will work on setting up venues and a schedule with which you feel comfortable, and where your talents and gifts can nourish others. Whenever possible, you will receive written notification of this before you arrive.

10. Final Checklist

1. Complete application form
2. Send reference forms to your references
3. Send your full publications list
4. Send the $35 application fee

Your application will be processed after we have received all your information. We suggest you keep a copy of your completed application form for your reference and records. Thank you and good luck!