Application for Invitation
Writers Retreat Grant
Incomplete applications will not be considered

Name: __________________________________
E-mail: __________________________________
Company: __________________________________
Street address: __________________________________
Zip code : __________________________________
Daytime Phone : __________________________________

Check Preferred Method of Contact :
__ E-Mail
__ US Postal Service
__ Phone:

How Did you learn about Hill House Writers?______________________

Discipline: (art, painting, dance, sculpture, song writing, fiction, non-fiction, screenplay):
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If you have any food sensitivities or favorites
please list them here:
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BE SURE TO:
Attach 200 word bio
Attach 200 word letter of intent
Attach your 1500 word writing sample

Please mail or email:
894 Odd Fellows Hall Road
Pulaski, TN 38478
karen@hillhousewriters.com