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An application form for the oberlin college creative writing poetry workshop during the fall 2007 semester. It includes instructions for applicants to provide their personal information, list previous workshops attended, answer application questions, and submit writing samples. The form also includes contact information for the creative writing program and a permission statement.
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Fall 2007 Application Name__________________________________________________________________ (Please Print CLEARLY) T #____________________ E-Mail Address __________________________________ (Please Print CLEARLY) Year: 1 2 3 4 Advisor___________ Your Phone Number________ Contact Phone Number during January ___________ Major(s) declared ________________OR major(s) intended ___________________ Are you an English major with a Creative Writing Concentration? ________ Answer the following questions on a separate sheet, typed:
I understand that this application will be retained by the Creative Writing Program for possible use in program assessment and that all identifying information will be removed to protect my privacy. I GIVE PERMISSION FOR MY APPLICATION TO BE USED: Print Name:____________________________________________ Signature:______________________________________________ Date:__________________________________________________
I DO NOT WISH MY APPLICATION TO BE USED:** Print Name: _____________________________________________ Please keep a copy of the work submitted with this application. Your materials will only be returned if you do not give permission for your application to be used in assessment.