NEW YORK STATE
SUMMER WRITERS INSTITUTE

July 2 - 27, 2001

Application Form Name___________________________________________________________

Home Address____________________________________________________

City ____________________________ State _______ Zip Code____________

Day Phone (____)_______________________ Fax (____)_________________

Male Female E-mail ______________________________________

Date of Birth (optional)__________________ SS#_______________________

Currently Enrolled / Where? ______________________________________

School/Campus Address ___________________________________________

City/State/Zip ____________________________ Phone __________________

Until what date?____________________Year of last graduation_____________

Course applying for _______________________ Instructor ________________

Four weeks (July 2-27) OR
Two weeks (July 2-13) OR
Two weeks (July 16-27)
Undergraduate credit? (four weeks only)
Graduate credit? (four weeks only)
Plan to live on campus off campus How did you learn of the NYS Summer Writers Institute? ___________________

_______________________________________________________________

I enclose my $30 NONREFUNDABLE application fee and understand that
my application will be responded to within two weeks of the date of receipt.
Also, please follow Application Procedures.

FOR OFFICE USE ONLY I.D. ____________________________________________________ credit_______________noncredit______________audit___________

Send to: Professor Robert Boyers, Director, New York State Summer Writers Institute, Skidmore College
815 North Broadway, Saratoga Springs, NY 12866-1632
Phone: 518-580-5156, [email protected]