Application form

(Don't stress over this application form. Writers of all experience levels are considered equally. If you are looking for a warm, peaceful place to write, you are welcome to apply.)

Name *

First

Last

Email *

Phone number *

Address *

Date of birth (dd/mm/yyyy) *

Occupation *

Brief personal bio – who are you? *

Social media/website links

What type of writing do you do? *

Please tell us about your previous writing experience, publications, education, etc. *

Briefly describe what you'd like to accomplish on your retreat *

I am applying for: *

1-week residency with private bath
1-week residency with shared bath
2-week residency with private bath
2-week residency with shared bath
1-month residency with private bath
1-month residency with shared bath
Other (specify below)

When would you like to come? We are currently accepting applications for Jan., Feb., Mar. 2025. Your retreat can last anywhere from 7 to 30 days. Please indicate whether your dates are firm or flexible. *

How do you feel about [usually well-behaved, chill] dogs? *

If I had my life to live over again, I’d rescue/adopt every dog in need
Yup, dogs are great
They’re okay if they don’t jump
Meh, I don’t particularly like them, but they don’t bother me
Nope, don’t like dogs, especially big ones
I’m terrified of dogs
I’m allergic to dogs

Special dietary requests/food allergies/sensitivities *

Do you have any special needs or requests?

Is there anything else you'd like to say that didn't fit logically in this form?

Discount code

Name

Once you have submitted your application, please send a 2-page writing sample or two poems in the body of an email to casamismac@gmail.com with the subject: [Name] – Writing Sample

Every application that is followed by a writing sample is considered. You will be contacted for a brief Zoom chat and a decision will be made within 4 weeks.

Thank you for choosing Casa Mismac Writing Retreat. We look forward to hearing from you.

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