Winter Workshop Scholarship Application -

Student first name*

Student last name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email address we can use to contact you during this application process.*

Curriculum license number*

If you have lost this number, please email info@oneyearnovel.com with your name and original shipping address.

Reasons for Attending

In a paragraph, please tell us why you would like to attend the 2018 Winter Workshop.*

Financial Information

There is no right or wrong way to answer the questions that follow. These questions just help us understand your situation.

Do you live with your parents?*

No
Yes
Yes, but only when I am not in school

Does anyone claim you as a dependent on their tax forms?*

Yes
No

Your PARENTS' gross taxable income for 2017*

Less than $35,000
$35,001 to $55,000
$55,001 to $75,000
$75,001 to $100,000

How many dependents do your PARENTS have?*

Are you married?*

No
Yes, and my spouse also wants to come to the Winter Workshop.
Yes, but I would be coming on my own.

Do YOU have one or more dependents (i.e., children)?*

No
Yes

YOUR gross taxable income for 2017 (if you are married, include your spouse's income in your total)*

Less than $35,000
$35, 001 to $55,000
$55,001 to $75,000
$75,001 to $100,000

How would receiving a scholarship impact your ability to come? Choose the BEST answer.*

I don't know yet if I can afford to come, but receiving a scholarship would definitely help!
I plan to come, but receiving a scholarship would make a big difference to my financial situation.
Receiving a scholarship is the only way I could possibly come. If I were to receive one, I could definitely come up with the rest of the money.
Even if I were to receive a scholarship, I don't know if I will be able to come, but I hope I would.

Use this space to share any details about your financial situation you would like us to know about, such as whether you are in school, reasons why you are not able to work as much as you want to, unexpected hardships, etc. But please be brief!*

*

I understand that submitting this application does not guarantee me a scholarship.