Enrollment and Information Request Form

You can use this printable form to request more information about the Intensive English Institute on the Teaching of Science Fiction, the Writer's Workshop, or the Writer's Retreat. Just mail the requested information below, or e-mail the same information to James Gunn, Chris McKitterick, or Kij Johnson, as appropriate. An electronic version of this form is also available.

To attend some or all of the Conference activities, please complete this electronic form available online and submit it to Lydia Ash (lash@ku.edu), along with a check made payable to the University of Kansas. Please mail to:
KU Department of English
Attn. Lydia Ash
1445 Jayhawk Blvd, Rm 3001
Lawrence, KS 66045


[  ] I wish to apply for the Writers Workshop, June 28 - July 10. ($400 check to James Gunn)
[  ] I wish to apply for the Novel Writers Workshop, June 28 - July 10. ($400 check to Kij Johnson)
[  ] I wish to apply for the Repeat Offenders Novel Writers Workshop, July 18 - 24. ($250 check to Kij Johnson)
[  ] I plan to enroll in the Teaching Institute, July 13 - 24. 
 (NOTE: If taking for credit, cost is based on KU credit-hour cost. If not for credit, $250 check to CSSF)
[  ] I plan to attend the Campbell Conference, July 10 - 12. ($40 - $50, check to CSSF)
[  ] I plan to attend the Awards Ceremony and Banquet, July 10. ($25, check to CSSF)
 
[  ] I plan to attend the Writers Retreat during these days: _______________________________ ($40 check to CSSF)

[ ] I need a housing (dorm) reservation for these nights:

June 28 - July 10 (during Workshops)
July 10 - July 12 (during Conference)
July 13 - July 24 (during Institute)

Total cost for either Workshop or 1-term Retreat is $228or$456 for each two-week stay ($228 for a double, $456 for a single)
total cost for the Conference is $38or$76. If you wish to stay longer (we have Sunday activities!) or arrive earlier
(to participate on Thursday-night activities), please let us know in advance; this will add $19 per night double,
$38 per night single to the total.
     Workshop participants must submit reservations by June 2.
     Conference, Retreat, and Institute participants must submit Housing reservations by June 15.

Check-in date and time (check-in is after 2pm): _____________________________________________
Check-out date and time (check-out is by 11am): _____________________________________________ 
If reserving a dorm room, do you prefer single or double occupancy? 

[  ] Single

[  ] Double
Note: You must first work out your roommate before we can register you for a double room.

If double occupancy, roommate's name: _____________________________________________

If double occupancy, roommate's email address: _____________________________________________

You may attend any of the above periods for the Writers Retreat.
The Writer's Retreat administrative fee covers any number of days. Be sure to register for credit classes via
the usual KU registration process. Checks must be mailed in advance of arrival, made out to appropriate party.
You may combine checks for CSSF.

[  ] I would like more information about ____________________________________________________________________ Please complete the following information:   Name: _______________________________________________________________________________________________________   Street address: _____________________________________________________________________________________________   City: __________________________________________________  State: ___________  Zip: ______________________   Phone: ______________________________________ Email: _________________________________________


form updated 4/21/2010
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