Residency Form

residency application
NOTE: Please remember to save your changes as you complete your application, or complete the information offline and then copy and paste it into this application. Any application received that does not follow the instructions will immediately be disqualified. Each application requires an application fee of $35.00 which can be submitted here: writerscolony.org/product-page/application-fee .

Click the link to pay the fee before filling out the residency form or all data in the form will be lost. Do not start filling out the application before paying, or WCDH will not receive your information.

If you have questions about the application or application process, please contact WCDH at 479-253-7444 or coordinator@writerscolony.org.

Thank you and best wishes!
basic contact information
Name*

First NameLast Name
E-mail*
Website
Preferred Gender Pronouns (Voluntary for Grant/Funding):
Age Range (Voluntary for Grants/Funding) :
Ethnicity (Voluntary for Grants/Funding):
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Preferred Number*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
This is not my permanent address.
Project Description

Please provide a description of the project you anticipate working on at WCDH. (If accepted, you are not limited to work on this particular project at WCDH.)
Project Description*

The project description should be no more than one page long (500 words). 0/500
Work Sample

Your work sample must be no more than 10 pages, clean and legible. If appropriate, indicate where the sample initially appeared and in what form (book, article, etc.) as well as date of publication.
Please describe the work samples you are sending.*
Work Sample File*

Upload a File

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Experience

Please attach a bio or resume. You do not need to be a published writer to qualify for residency.
Bio, CV, or Resume*

Upload a File

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Residency Schedule

Residencies are typically one week and a maximum of three months. Please note your desired time. WCDH is open year-round.
Proposed Length of Stay*
Number of nights
First Choice of Dates
Ideally, it is best to check in Monday - Friday, 9:00 a.m. - 4:00 p.m.; however, if you will be checking in on the weekend or outside of normal business hours, just let us know so that we can make arrangements for you.
Arrival Date*

MonthDayYear
Departure Date*

MonthDayYear
Second Choice of Dates
Arrival Date

MonthDayYear
Departure Date

MonthDayYear
Are your requested residency dates flexible?
Is there anything else you would like us to know about you?
How did you hear about us?*
WCDH RESIDENCY POLICY

The Writers' Colony at Dairy Hollow is committed to providing uninterrupted, undistracted writing time for all writers-in-residence. We have a strict code of conduct to protect this, including a policy of constant quiet except in designated areas.
Do you agree to adhere to WCDH policies and be courteous of your fellow writers-in-residence?

YesNo
Comments:
FINANCIAL INFORMATION

The Writers' Colony at Dairy Hollow is a nonprofit 501(c)3 organization, supported solely by charitable donations from individuals, foundations, and residents. Actual costs, per resident, per night, at WCDH, are about $125; however, due to charitable donations, our writers-in-residence can stay at WCDH for as little as $95 per night (plus a one-time $30 cleaning fee). This rate includes a European-style gourmet dinner served five nights a week and a community kitchen stocked with the basics for breakfast, lunch, and weekend meals.

Writers who are able to contribute more than $95 per night make it possible for writers who cannot contribute as much to have this gift of supported residency time through our scholarship fund. Please consider making a contribution. Thank you.
Should be Empty:

residency application

basic contact information

Project Description

Work Sample

Experience

Residency Schedule

First Choice of Dates

Second Choice of Dates

WCDH RESIDENCY POLICY