2021 The Whole Novel Historical Fiction Workshop & Scholarship Application

Please use this form if you are interested in applying for financial assistance.

First Name

Middle Name (optional)

Last Name

Cell or Primary Phone

Address

City

State

Zip or Postal Code

Country (if outside US)

UPLOAD: A Synopsis and the Beginning of Your Novel*

Please upload one pdf file. The first page should be a synopsis of your novel, followed by the first 10-15 pages of your manuscript.

Drag and drop files here or

Career Summary or Background

Do you seek financial aid/scholarship to attend?

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Select the Scholarship You're Applying For

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Scholarship Amount Requested

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Date of Birth (optional)

Place of Birth (optional)

Ethnic Background (optional)

Adjusted Gross Income

Adjusted Gross Income (AGI) is defined as gross income minus adjustments to income. Gross income includes your wages, dividends, capital gains, business income, retirement distributions as well as other income. Adjustments to Income include such items as Educator expenses, Student loan interest, Alimony payments or contributions to a retirement account.

Note about your financial need (optional)

Ever attended a Highlights Workshop in the past?

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If yes, which one(s)?

Please list name of workshop(s) and year(s).

Past Scholarship(s) from Highlights Foundation?

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Sch Applicant

Why are you interested in this particular program?

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