EmailMeForm Under The Volcano 2021 PARTICIPANT INFORMATION Name * First Last Date of Birth * MM / DD / YYYY Email * Cell Phone * ### - ### - #### Social media you use & primary handle * Website if you have one Address * Street Address Address Line 2 City State / Province / Region Postal / Zip Code Antigua and BarbudaArubaBahamasBarbadosBelizeCanadaCayman IslandsCook IslandsCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNetherlands AntillesNicaraguaPanama Puerto Rico Saint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColombiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFaroe IslandsFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyKosovoLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorHong KongIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPalestinePhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosDemocratic Republic of the CongoRepublic of the CongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGibraltarGuineaGuinea-BissauCote d'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandUnited Republic of TanzaniaTogoTunisiaUgandaZambiaZimbabwe Country / Region Emergency Contact Name * First Last Relationship * Phone * ### - ### - #### ABOUT YOU How did you find out about Under the Volcano 2021? * AdvertisementSocial MediaFriendEmailUnder the Volcano Alumni/FacultyWeb SearchI'm an alum!!Other Tell us more. We love to hear how people find us. * Profession * Employer * What's your current work? * TELL US ABOUT YOUR WRITING LIFE Please list any workshops attended, courses completed, or other relevant experience you consider important, including publications, performances, etc * What are your goals and expectations for your Under the Volcano experience? * MASTER CLASS SELECTIONYou may apply for more than one Master Class but must clearly indicate your choices and upload clearly labeled separate samples for each. I am applying for Manuscript Seminar with Aysegül Savas (English)Manuscript Seminar with Verónica Murguía (Spanish)Literary Launchpad with Tim MacGabhann (English) Narrativa con Alberto Chimal (Spanish) Poetry with Cyrus Cassells (English) Poesía con David Huerta (Spanish, 3 sessions))Writing of Witness with Elizabeth Rosner (English)Escritura y testimonio con Sandra Lorenzano (Spanish)Journalism with Tyrone Beason & Alicia Quiñones FINANCIAL AID & FELLOWSHIPSIf you are applying for financial aid or a named fellowship, fill out this section. If you are not submitting a financial aid or fellowship application, please continue to the next section. Please read the guidelines for each fellowship to make sure you are eligible. If applying for financial aid (different from a named fellowship) be sure to upload proof of income and expenses for the preceding three months. You may apply for more than one fellowship if eligible and for both financial aid and a fellowship. Checkbox I am applying for financial aid (submit required proof of income & expenses) I am applying to the Black Writers Matter Fund (proof of current income and expenses also required) Fellowship Grace Paley Fellowship for a Woman WriterMargot Adler Fellowship for Innovative JournalismSandra Cisneros Fellowship for a Latinx WriterWords of Witness Fellowship in Non-FictionBeca Robert L. Breen para periodistas mexicanosLa Página Dorada para una narradora mexicana LIABILITY AGREEMENT SPECIFIC to UTV 2021Please read this agreement carefully before checking the box below. I understand that Under the Volcano International, Inc. reserves the right to capture photographic, video, written, spoken and other digital or analog media records of any of its programs and participants. However, Under the Volcano will not use any media record of the participant outside the framework of the Program without first obtaining the participant's permission. Participants agree not to reproduce or circulate screenshots or audio records of program workshops or individual participants without the instructor’s, participant’s or Program’s express permission, as appropriate. Participants also agree not to share the work of any other participant without that person’s express consent. * By checking this box and signing below, I the participant confirm that I have read and agree to the Liability Agreement. CANCELLATION POLICYPayment in full is due on acceptance unless a payment plan has been arranged. Accepted participants will be entitled to a full refund in the event of insufficient registration for the program or due to force majeure. Notification of program cancellation for insufficient registration will be made no later than March 10, 2021. * I have read and accept the cancellation policy. TECHNOLOGY REQUIREMENTSUnder the Volcano 2021 relies on Zoom and standard Google platforms. Participants will need either a laptop or desktop computer and a reliable internet connection. * I understand that Under the Volcano 2021 is a virtual writing program and acknowledge that I have the necessary technology to participate. SUBMISSION SIGNATURE (use your cursor to sign)My signature below indicates full agreement with all the foregoing. Participant Name * First Last Signature * Clear Date * MM / DD / YYYY Uploads Include your 10-page writing sample (double-spaced for prose), clearly labeled with name first, and cover letter. Sample must be in the language in which you write. Named fellowship applicants must submit 25 pages along with a c.v. and two reference letters. If requesting financial aid (onlyy partial support is available) please submit proof of current income and expenses. Upload writing sample and cover lettert here: Add File OTHER ATTACHMENTS Curriculum vitae (named fellowships only) Proof of income and expenses if applying for financial aid Add File Reference Letter 1 Only if applying for named fellowships. Reference Letter 2 Only if applying for named fellowships. FollowFollowFollowFollow © 2020 Under the Volcano International. All rights reserved