2008-2009 Application for The Henry Hoyns and Poe/Faulkner Fellowships

The Creative Writing Program
University of Virginia
219 Bryan Hall
PO Box 400121
Charlottesville, VA 22904-4121

Please complete each field. Print completed form and send with manuscript to the above address.
All submissions must be postmarked no later than January 2, 2009.

Full Name:

Preferred Name:

Social Security #:

Permanent Mailing Address:

Permanent Telephone:

Current Mailing Address (until 15 April):

Current Telephone (until 15 April):

E-mail:


Area in which you wish to be considered (please check one):

poetry

fiction

If you are applying to both poetry and fiction please submit a separate Fellowship application for each area.