Writing Between the Vines Retreat Application WINTER/SPRING 2017


BEFORE YOU BEGIN: Choose your residency dates from Retreat Location page and have them ready to enter below. They are not populated in the drop down menu. You must enter dates manually.

After submitting the application form, you will be directed to a PayPal payment page to pay the $30 non-refundable application fee. You must also read and agree to abide by residency terms by checking the agree box at the bottom of this form and entering your initials. If you are accepted for a retreat you will be sent a residency agreement to sign and return.

NOTE: There is no residency fee for the retreat. All housing costs are covered. All other costs associated with participating in the retreat, such as transportation, meals, and personal expenses, are NOT COVERED and the sole responsibility of the applicant.

Contact Information
Residency Choice

Please select a first and second choice for the dates and location of residency. The residency dates for each retreat location are provided under the Retreat Locations tab. It is your responsibility to choose a retreat with dates that will accommodate your schedule. No changes in dates can be made after the residency is awarded.

Co-Residency: If you are applying for retreat that is eligible for a Co-Residency, check the Co-Residency box and fill the names of other writer or collabotator in the space provided. Co-residents must each submit individual applications and pay the application fee.

Background and Writing Sample
  1. Please state briefly what you hope to accomplish during your residency. What project(s) will you work on, or research will you conduct?

  2. Please upload a PDF or Word file using the Choose File button below. Text must not exceed 5 pages.

  3. Please provide a short bio (100-300 words) and links to publications or websites featuring your work. Also list awards, honors, and any professional memberships or affiliations.

  4. Please provide the names, phone numbers and email addresses of three people familiar with you and your work and indicate the nature of your relationship with each person.

Residency Terms and Agreement

Enter your initials to acknowledge that by submitting this application you have read the agreement and agree to abide to the residency terms as stated if you are granted a placement.

Applicant agrees to abide by all RULES, REGULATIONS, WARNINGS and INSTRUCTIONS as provided by the property host and agrees to WAIVE, RELEASE, DISCHARGE AND HOLD HARMLESS the designated retreat property host from any and all right, claim or liability for any personal injury or damages or loss to personal property, or claims of any kind of nature resulting from or arising out of participation in the retreat.

By accepting an awarded retreat the applicant agrees to WAIVE, RELEASE, DISCHARGE AND HOLD HARMLESS Writing Between the Vines—Vineyard Retreats for Writers, LLC from any and all right, claim or liability for any damages or loss to personal property, or work, or claims of any kind resulting from or arising out of participation in the retreat.

Submit Application

After you click the button below, you'll be directed to a page with a payment button. We cannot process your application without payment of the $30 application fee.