Award Form and Application

Conference Director, 

Barbara Large MBE, 

Research and Knowledge Exchange Centre, 

University of Winchester, Winchester, Hampshire S022 4NR or 

Telephone 01962 827238

Email Barbara.Large@winchester.ac.uk 

Website:: www.writersconference.co.uk

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ENTRY FORM |

The Enrico Charles Literary Award will recognize outstanding contributions to English literature through the author’s representation of Disability and Empowerment.

Name.....................................................................................................................................................................................................

Address.................................................................................................................................................................................................

City.............................................................County........................................................................Postal Code..................................

Phone Number...............................e-mail:..............................................web:..................................................................................

 

SUBMISSION CATEGORY |

Literary Non-fiction..............................................................................................................................................................................

Fiction....................................................................................................................................................................................................

Journalism Piece................................................................................................................................................................................

Title of Work Submitted......................................................................................................................................................................

Publisher/Author Name.....................................................................................................................................................................

YOUR ENTRY FORM MUST INCLUDE |

A completed and signed entry form

Five copies of the publication

Author’s CV

8x10 photo

Consent letter from the author

DECLARATION |

I hereby declare that I have read and understood the above information, and all information enclosed is truthfully accurate to the best of my knowledge.

Signature...............................................................................................................................................................................................

Date:       ........../................../ 2010

The personal information collected is required for the administration of this Award.