Name
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First Name
Last Name
Email
*
example@example.com
Birthdate (must be 20 or older, to apply)
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
My work is based on my original creation and not generated, augmented, or assisted by an AI content creator.
*
Yes
No
Upload your 1,000 word essay on the topic “Why I Want to Write and Become an Author.”
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Upload a 20 page (minimum) sampling of your written work.
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Submit
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