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First name Last name Middle initial Title Position applied for Street address Address (cont.) City State/Province Zip/Postal code Country Work Phone Home Phone FAX E-mail URL
Are you a member of Writers' Village University?
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Have you taken Fiction 98 or Fiction 401 before?
Tell us about your qualifications and experience:
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How many hours a week would you be willing to volunteer?
Are you currently working a full-time job or do you plan on taking one in the near future?
Please comment on your goals and current employment status.
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