Name *

First Name

Last Name

Race/Ethnicity *

American Indian or Alaska Native

Asian

Black or African American

Latinx

Native Hawaiian or Other Pacific Islander

White

Other

Date of Birth *

MM

DD

YYYY

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Genre in which you're applying. *

Creative non-fiction

Fiction

Poetry

What is your primary objective? *

Please select at least three objectives.

Learning more about craft

Learning how to get published

Putting together/editing a manuscript

Getting feedback from instructors & peers

Having a community of writers

Learning more about the publishing process

If accepted, are you expecting to work on a specific project and/or manuscript in mind? *

Please note: having a project or manuscript in progress is not a requirement for the program.

Yes

No

I'm not sure

Are you interested in applying for a fellowship?

Please note: the program will offer several partial fellowships based on available funding; you must submit your application by the priority deadline in order to be considered for a fellowship.

Yes

No

Are you a returning Anaphora Fellow or Alumnx? *

Yes

No

How did you hear about the Publishing Program? *

Social media

Referral (friend, alumnx, etc)

Anaphora Arts webpage

Anaphora Arts mailing list

Other