2013 Yeats International Summer School Application Form

Please print and complete this form

(using BLOCK CAPITALS)
and return it to:

Summer School Applications,

Yeats Society, Yeats Memorial Building,
Douglas Hyde Bridge, Sligo
with a deposit of 100.00 or payment in full.

Name:__________________________________________
Address:___________________________________________
__________________________________________________
_________________________________________________
Telephone:____________________________________
Email:__________________________________________
Week One
George Bornstein
Joseph Valente
Helen Vendler
Madeline Callahan
Youngmin Kim
Alexandra Poulain

Seminar Leaders
Week Two
Alex Davis
Jahan Ramazani
Helen Vendler
Susan Wolfson
Warwick Gould

Please list 1st and 2nd choice of Seminars for each week:
Week 1:_______________________________________________________
Week 2:_______________________________________________________
Or choose drama workshop for each week : [ ]Yes [ ] No
Will you participate in the optional poetry workshop?
(100.00 extra) [ ] Yes [ ] No