Apply by November 1, 2019. You will receive an email response by November 15. Student first name* Student last name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 AttendingIn a paragraph, please tell us why you would like to attend the Winter Workshop.*Financial InformationThere 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 2019* 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 2019 (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. Δ Share this:FacebookX