Date of birth
Use the format MM/DD/YYYY
Please provide an email address where you can be reached through July 2024
If applicable: preferred name, writing name, anything else you'd like us to know
Provide a short bio if you like
Program affliation: if you're attending DISQUIET through one of our partner universities, select the right one below.
Bluegrass Writers Studio Low-Res MFA
Optional: if you have a website you'd like us to visit, include the URL here.
Other web presences
Optional: If you'd like us to know where to find you on social media or elsewhere, use this box.
Optional: What do you do for a living?
Alumni year: Have you attended DISQUIET in the past? Check all years that apply.
I have not attended DISQUIET in the past
Please include postal code and country
Emergency contact name
Someone we can contact in case of an emergency
Emergency contact relationship to you
Emergency contact email
Emergency contact phone number
Other ways to reach your emergency contact, or additional contacts
Physician/Medical Care Provider Name
In case of a medical emergency while abroad
Physician/Medical Care Provider Email and/or Phone Number
Core Workshop Selection (select all that apply)
Creative Nonfiction and Memoir
Writing the Luso Experience
Optional additional workshops for Tuesday and Thursday mornings may be announced to participants at a later date. In the meantime, please select one of the following:
I am interested in joining a Tues/Thurs workshop
I prefer to keep Tuesday and Thursday mornings free
Additional notes or questions
We hope to be able to announce the full 2024 faculty by late October, and will notify applicants of any changes. Placement is subject to availability.
Most of our participants find it easier to find their own housing for the duration of the program. We will also have a limited number of shared hostel rooms available for purchase. Please indicate your preference below.
I will find my own housing for the duration of the program in Lisbon
I am interested in purchasing housing through Disquiet ILP
Would you like to be considered for scholarships or financial aid if available?
Please provide the names and email addresses of two references.
Use the form at http://disquietinternational.org/the-program/cost-deadlines/ to pay the $20 application fee. Please paste the transaction number you recieve from Paypal into this space. If you are unable to use the form, please contact firstname.lastname@example.org
Please send one writing sample of 15 pages or less, or up to 5 poems, in each genre for which you'd like to be considered. Writing samples should be attached files (.docx, .rtf., .pdf, or .odt), sent to email@example.com with "2024 Application" in the subject line.
Should be Empty: