Cosmic Coaching: Signup Form for Mentees
Thank you for signing up for Cosmic Coaching! In this program, young writers will be matched with an expert in their genre of choice for an 8-week-long virtual mentorship during Spring 2025. The mentor/mentee pair will meet once a week for an hour at a time, setting writing goals during the first meeting of the mentorship and spending the following 7 weeks working toward achieving those goals.
Writer Info
Name
*
First Name
Last Name
Nickname / Preferred Name
Pronouns
*
Email Address
*
example@example.com
What grade are you in?
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1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Where did you learn about Cosmic Writers / Cosmic Coaching?
*
What timezone are you in?
*
What time works best for you to meet with your standing coach?
*
Weekday afternoons
Weekday evenings
Weekend mornings
Weekend afternoons
Other
Hometown (City/Town and State)
*
While Cosmic Coaching is intended as a virtual mentorship, we may be able to match you with a mentor who can meet you in person, particularly if you live in Philadelphia or New York City. If this is the case, you and your mentor will be responsible for coordinating your meeting location. Are you interested in carrying out your mentorship meetings in person?
I'd prefer an in-person mentorship
I'd prefer a virtual mentorship
I'd be equally happy with either an in-person or virtual mentorship
Other
What kind of writing are you interested in working on with a standing coach? Tell us about your favorite writing genre(s), any major projects you're currently working on, or anything else that you'd like to focus on in your mentorship!
*
Set at least one goal for how you would like to grow as a writer over the course of the mentorship (ex: get better at writing dialog, finish a first draft of my chapbook, increase my confidence in English class, etc.). You can change your goal(s) once you meet with your mentor and brainstorm more about your priorities, so don't worry if you're not 100% sure that this is the right direction — the mentorships are flexible.
*
OPTIONAL: Upload a short writing sample to show us what kind of writer you are.
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Is there anything you would like to tell us about yourself, either as a writer or as a person, in order to give you the best possible experience working with a standing coach?
Parent / Guardian Info
Parent / Guardian's Name
*
First Name
Last Name
Parent / Guardian's Email Address
*
example@example.com
Parent / Guardian's Phone Number
*
-
Area Code
Phone Number
Suggested Donation
While our programs are free to all participants who need it, we're able to operate because of the generosity of those who believe in our mission. A gift of $250 from those who are willing and able covers the cost of mentorship for one participant. As a result, we suggest donating if you're able. Please enter a donation amount in the box below if you choose to contribute. Thank you!
Payment Information
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Credit Card Details
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Last Name
Credit Card Number
Security Code
Card Expiration
Thank you again for participating in Cosmic Coaching! We can't wait to write with you.
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