Name (required)

Email address (required)

Postal address, including postcode (required)

Telephone number (required)

Alternative telephone number

Website URL

Please tell us about any writing achievements. These might be publications, productions, prizes, commissions, or simply work you have completed. (required)

What are you working on at the moment, and what writing plans do you have for the immediate and long-term future? (required)

How are you developing your writing and your writing career? Tell us about any courses and workshops you have attended, and any writing groups you have belonged to. (required)

Please upload a short sample of your recent writing. This may have been previously published. (required - should be Microsoft Word, PDF, text, scanned jpg, or Open Office format)