Apply

Thank you for your interest in the DISQUIET International Literary Program.

Please note: All Lisbon workshops other than Writing the Luso Experience are currently full and we are no longer able to accept applications for the waitlist at this time. If you’d like to be notified when applications re-open for next year, please contact disquietinternational@gmail.com

If you have been invited to the Writing the Luso Experience workshop, please drop us a line at disquietinternational@gmail.com in addition to filling out the application.

For the Azores Residency, please contact us by email before filling out an application.

Application Form

• Personal
• Contact
• Preferences
• Writing Sample
• Payment

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• First Name*
• Last Name*
• Gender (You may choose not to answer this.)
• Date of Birth* Enter the date in this format: MM/DD/YYYY.
• Passport Number:
• Passport Issuing Country:
• Biography Optional: Share a little biographical information to fill out your member profile.
• Applying For:
  DISQUIET International Literary Program in Lisbon (June 23–July 5, 2019) DISQUIET Residency in the Azores (July 7–16 2019) Both
• Program Affiliation
  -- Select One -- Ohio Wesleyan University Eastern New Mexico University The EKU Bluegrass Writer's Workshop Stetson University
  Please indicate if you are affiliated with any of these programs.
• Website Optional: If you have a personal website, we will display this on your member profile.
• Profession Optional: What do you do for a living? We will display this on your member profile.
• Have you attended Disquiet in the past? 2011 2012 2013 2014 2015 2016 2017 2018 Check all years that apply.

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How to Reach You

Please enter contact information where you can be reached through July 2019.

• E-mail* (We will not publicly display any contact information.)
• Street Address*
• City*
• State / Province / Region*
• Zip / Postal Code
• Country*
• Country of Citizenship*
• Primary Phone Number*
• Secondary Phone Number
• Twitter Optional: Enter your Twitter handle, without the @ sign, to display on your member profile.
• Facebook Optional: Enter the URL to your Facebook to display on your member profile. (It usually looks like this: https://www.facebook.com/fernando.pessoa.himself.)
• LinkedIn Optional: Enter the URL to your LinkedIn to display on your member profile.

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Emergency Contact

• Contact Name*
• Relationship to You
• Email*
• Street Address*
• City*
• State / Province / Region*
• Zip / Postal Code
• Country*
• Phone Number*

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Workshops

Workshop and Lisbon Housing preferences are not needed if you are only applying for the Azores residency.

• Core Workshop Selection*
  -- Select One -- Fiction Memoir & Nonfiction Poetry Writing the Luso Experience None
• Select the workshop that best suits your experience level:*
  -- Select One -- Advanced Intermediate New to workshops None
• If you have a preferred author to workshop with, please state his/her name here:
• Optional, informal Tues/Thurs. workshops will be announced to all applicants at a later date. Meanwhile, please select one of the below:
  I would be interested in an optional Tues/Thurs workshop I would be interested in Tues/Thurs structured writing time I prefer to keep my Tues/Thurs afternoons free during DISQUIET

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Housing

• Lisbon Housing*
  -- Select One -- I will find my own housing for the duration of the program in Lisbon. I would like to purchase housing through Disquiet ILP. N/A: I am only attending the Azores Residency and do not need housing in Lisbon.
  Please see our suggestions for excellent and affordable housing options.
• While Disquiet cannot guarantee that you will receive the accommodation that you select, which type of accommodation would most interest you?
  -- Select One -- Hotel (~$100/night) Hostel (~$30-$50/night)
• Requested Roommate

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• Prepare a writing sample of no more than ten pages of prose or three poems.* Save as .doc, .docx, .pdf or .rtf (less than 2 MB).
• Notes & Special Requests Please enter here any notes or special requests you would like the staff of the ILP to take into account in considering your application.

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You’re now ready to pay the $150 application deposit. Your deposit is fully refundable in the event you are not admitted to the program, the program is cancelled, or you withdraw by the withdrawal deadline of March 15 of the program year.

Click the “Pay Now” button and complete the transaction at Paypal. After you have received confirmation of payment from Paypal, please paste your PayPal receipt number or the entire confirmation email into the Paypal receipt field so we can confirm payment.

Then hit the “Submit” button to submit your finished application.

PayPal

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• PayPal Receipt (You can still send your application without the receipt.)
• Feature me in the public alumni directory! By joining Disquiet you have the opportunity to be featured in our Alumni Directory.

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