Financial Assistance Request Form

For select WRITEABILITY® programs (i.e. Book Club & Craft Seminar for Writers and Sustaining Circle) financial assistance may be available to cover all or part of the fees for writers who hold identities that have been systematically oppressed.

If you are part of a systematically marginalized community — such as BIPOC, LGBTQIA+, and people with disabilities — and would like to request financial assistance to join one of our programs, please complete the form below. Completion of this form does not guarantee that you will receive funds to participate in our programs.

We always endeavor to provide accommodations to help all writers participate in our programs, but due to limited staffing and financial resources, we may not always have the ability to provide special accommodations, depending on the circumstances.

We will keep your responses confidential.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Country CodeArea CodePhone Number

Your Preferred Pronouns*

I am requesting financial assistance for the following program:*

I hold one or more of the following identities. Select all that apply.*

BIPOCLGBTQIA+Person with a disabilityOther, please specify

Please share any additional accommodations that you might need to participate in our programs. We always endeavor to provide accommodations to help all writers participate in our programs, but due to limited staffing and financial resources, we may not always have the ability to provide special accommodations, depending on the circumstances.

Is there anything else you would like to share about yourself or your writing?

Please check the boxes below.*

I understand that completion of this form does not guarantee that I will receive funds to participate in WRITEABILITY's programs.I understand that if I have requested other accommodations they may not be able to be met.