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* 1. Do you identify as a mom or caregiver who is not a white cis male?

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* 2. What length of discounted retreat would you prefer?

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* 3. Do you need financial aid (provided through sponsorships and our patreon)

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* 4. Describe your past work (publishing history, gallery showings, zines, chapbooks, fellowships, related scholarships, art installations, etc)

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* 5. Describe the project(s) you plan to work on during your time at the Unruly Retreat. Limit yourself to no more than 1000 words.

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* 6. Please provide your full preferred name, or pen-name if you use one and work is published under that, email address, social media handle if applicable (Twitter, Instagram, something like that) and a phone number or other way to contact you, should you be selected. (We are millennials and prefer email, but are flexible!)

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* 7. If you are selected as a recipient of an Unruly Retreat, do you agree to tag the farm on Instagram (@unrulyretreat), and credit us on social media in general (our website is unrulyretreat.com), as a way to help increase our visibility as an AirBnB and retreat?

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* 8. Anything you wish we'd asked in this application so you could tell us?  Consider this your free bingo space!

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