You Are Invited to experience a literary retreat for women
The Writer’s Well Retreat
Name ______________________________________________________________
Address ______________________________________________________________
Phone Numbers (home) _______________(work)______________(cell)___________
In Case of Emergency call (name) __________________(telephone)______________
Length of Stay _________________________________________________________
Arrival Date ________________________Departure Date_____________________
PARTICULAR NEEDS
Transportation (ie airport pick-up/return)_____________________________________
Dietary Needs __________________________________________________________
Special physical needs or limitations _________________________________________
Tell us something about yourself.
How were you led to The Writer’s Well?
Why have you chosen The Writer’s Well?
What are your expectations of The Writer’s Well?
What are you goals for yourself during your stay?
What are your strengths as a writer?
What are your weaknesses as a writer?
How often do you write?
Do you have frequent writer’s block or writer’s barriers, and if so, how do you try to overcome them?
Are you currently working on a project, if so what?
What is your genre of writing (ie novels, short stories, film scripts, plays, poetry, etc.
Who is your target audience?
What are your goals as a writer?
THANK YOU!
National
Advisory Circle
Advisory Circle
Dr. Kwakuitl Dreher, University of Nebraska-Lincoln, English and Ethnic Studies Professor
Marcia Ellis, Indigo Connections Leadership and Management Coach, Washington , DC
Adriane Hill, POISED, A Women's Non-Profit Literacy Program, City College of New York
Jonae Jackson, Writer/Editor, Atlanta , GA
Venita N. Jacobson, Publicist/Realtor, Mitchellville , MD
Dr. Venita M. Kelley, Kelley Communications Consulting, Atlanta , GA
Iona Morris, Writer/Director/Actor, Los Angeles , CA
Shirma Prescott, Marketing/Poet, Atlanta , GA
Crystal V. Rhodes, Author/Playwright, Indianapolis , IN
Dr. Sandra C. Seaton, Playwright, East Lansing , MI
For more information or reservations, please call (770) 254-9888 or (818) 679-2086.
“The world needs to hear what you have to say. The last word has not been spoken."
---Beah Richards
