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THE 2020 INTERNATIONAL WRITER’S (IWP) PROGRAMAPPLICATION FOR FALL RESIDENCY Full Passport NameFirst NameFamily Name Pen Name (if applicable)Date of BirthMM/DD/YYYYGender Female Male City of BirthCountry of BirthCountry of CitizenshipCountry of Current ResidenceCountry of Permanent ResidencePrimary AddressMobile Number Primary email AddressEnglish language proficiency Excellent Good Poor None Other LanguagesOccupation Employer Other Concurrent Jobs (if applicable)Have you previously been to the University of Iowa? Yes NoHave you been in the U.S. in J-1 or J-2 status? Yes No If yes, please provide details on the purpose and duration of travel.PurposeFromFormat: mm/yyToFormat: mm/yyAre you a graduate of a foreign (non-U.S.) medical school? Yes NoMark all genres that apply to you:FictionPoetryCreative NonfictionPlaywritingScreenwritingTranslationOther??????Book Publications:GenreTypeOriginal TitleEnglish TitlePublisherYear???????????????Translation of work into other languages:GenreTypeTitleLanguageTranslatorPublisherYear????????????Awards and Honors:NameYearOther info (if applicable)Writing residencies, conferences, or festivals attended, as well as any other professional travel/s:NameYear/sOther info (if applicable)Please list any collaboration with other writers or art forms.TypeNameYear/sPlease list any other related forms of literary engagement or involvement.TypeNameYear/sPlease provide any additional or valuable information related to your writing career or status.Work sample(s) description: Describe the piece being submitted, including the language of origin, biographical information on the translator, and, if applicable, publication information.Please write a one page statement of interest (in English) addressing the following:1) Why are you interested in participating in the program?2) What do you plan to gain from the experience and how would it contribute to the fulfillment of your professional plans?3) How might you share this experience with others in Mongolia both in your work and in your community? ................
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