Thank you for your interest in the 2022 Geffen Playhouse Senior Writing Workshop Series. We would love to get to know you better via a few questions! 

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* 1. What is your name?

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* 2. What is your contact email address?

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* 3. Where you located? (City and state)

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* 4. How old are you?

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* 5. What is your gender?

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* 6. What race do you identify as?

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* 7. What is the name of your organization? (if you’re not a member of an organization, please write "none")

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* 8. Have you ever participated in a writing workshop? If so, where?

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* 9. How did you hear about this workshop?

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* 10. What are your goals for this particular workshop?

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* 11. Who inspires you, and why?

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* 12. Are you available for all six Saturday workshops, and the Final Share on August 13th?

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* 13. Do you have access to a computer with a camera and a microphone, able to log onto Zoom?

Thank you for your participation!

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