The University of Texas at Austin / The Texas Institute of Letters

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1 The University of Texas at Austin / The Texas Institute of Letters Application for the Memorial Fellowship at Paisano month residency with a stipend of $, 0 per month Name: Address: Phone: Results of the competition will be announced by the end of May. If you want the results to be sent to a different address, please give it below. Date and Place of Birth: How long have you lived in Texas? Please give exact dates. Name of spouse or partner (if applicable): Children (Ages):

2 Application for Memorial Fellowship p. 2 College degrees (with institutions and dates): Fellowships, scholarships, prizes, or other honors: Present position: Previous positions held, with dates (exclude summer or part-time jobs while in college): List of published books, articles, short stories, or poetry: Give dates and names of publishers. (Attach a separate sheet, if desired.) Note: One must have demonstrated some publishing and critical success to apply for this fellowship.

3 Application for Memorial Fellowship p. 3 Why do you feel that you would be a suitable Fellow for life at the Dobie Paisano Ranch? Have you lived in a rural or isolated setting before if so, to what extent?

4 Application for Memorial Fellowship p. 4 Describe the nature and extent of work you would expect to accomplish during a - month residency at Paisano:

5 Application for Memorial Fellowship p. 5 Provide three copies of: (1) The Application Form: Send three copies of the application and three copies of your writing or project sample and support work. (2) Writing or Project Sample: This should be an example of the project you plan to work on or complete at Paisano. If this is not possible, send an example from previous work(s) that most closely resembles your proposed project. In the space below, give the title and form (poetry, short story, articles, essays, etc.). The total number of pages submitted (project sample and supporting work) should not exceed 50 manuscript pages. Judges will read only the first 50 pages submitted. Published books (fiction or nonfiction, poetry, etc.) may be included. (3) Other Supporting Work: This is included in the 50-page limit. It can be published or unpublished writing or reviews of your published work that you would like to offer in support of your application in addition to the writing sample. In the space below, give the title, form and date (if published). You may submit supporting material on electronic media; however, judges are not obligated to view them. Keep a copy of all work submitted. Submit entries to: US Postal Service Overnight Delivery The University of Texas at Austin The University of Texas at Austin Attn: Dobie Paisano Program Attn: Dobie Paisano Program 110 Inner Campus Drive, G Inner Campus Drive, Main Bldg. 101 The Graduate School- Main Bldg 101 The Graduate School Austin, TX Austin, TX Phone: (512) Phone: (512) Enclose the $20.00 non-refundable application fee (check or money order) made payable to The University of Texas at Austin. If applying for both the Jones and the Johnston fellowships, include the $30.00 non-refundable application fee for both applications in your packet for the Ralph A. Johnston Memorial Fellowship and check the box on page 1 of application. You must submit each application and its accompanying materials in separate packets, but they can be sent in the same envelope or box, clearly marked. Do not use binders, notebooks, separators, etc. - larger paper-clips or binder clips are recommended.

6 Application for Memorial Fellowship p. 6 Enclose a self-addressed, stamped postcard if you wish to receive acknowledgment of the receipt of your application. Please submit applications AFTER December 1. Entries must be postmarked on or before January 15, Entries will not be returned unless you check the box below and enclose a self-addressed envelope or box with sufficient postage and large enough to accommodate your materials. Return

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