Lions Mountain Literary Youth Scholarship Application

APPLICATION

The Award:

• One 3-Day SiWC22 Full Conference Scholarship, all-inclusive. Value: $699
• Two Virtual SiWC22 Conference Scholarships. Value: $399

Application Form

Name:_________________________________________________________________________

Birthdate: ______________________________________________________________________________

Age:______________________________________________(Must be between the ages of 15-22 in 2022)

Address:_______________________________________________________________________

Cell #:_________________________________________________________________________

Email:_______________________________________________________________________

Website:_______________________________________________________________________

Signature of Parent or Guardian if under 18: _____________________________________________________________________

Applicants for this award must submit:

• this completed application form
• a story, poem, or chapter of a longer work for consideration [Show us your creativity!]
• a brief biographical letter outlining interest in attending the conference, future writing aspirations and goals
• a digital photo of a verifiable proof of age [current student card, driver’s license, birth certificate, passport etc.]

Please save this form and email to [email protected], with documents attached in either .docx, .jpg or .pdf format

Application deadline: September 30, 2022.

Successful applicants will be notified by October 10, 2022.  Good luck – This Day We Write!!!