Publishing Academy 2020-21 Application Form

Student Name*

First Last

Student Email (Please do not use a cps.edu email)

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Student Date of Birth*

Student Grade in Fall*

School Student will Attend in Fall*

Student Gender

Student Race

American Indian
Asian
Black
Hispanic or Latinx
Pacific Islander
White
Other

How did you hear about Publishing Academy?*

If other, please list here:

If you were referred by a past or current participant, please list their name here.

Did you participate in the 2020 Open Books Writing Contest?*

Yes
No

To Be Completed By Student*

Please respond to ONE of the following questions: 1.) Why do you believe you will be the next great author? OR 2.) Why is Open Books Publishing Academy the perfect opportunity for you?

Writing Sample

Each student is required to submit a short creative writing sample in order to be considered for the program. Please review the the requirements below. Returning students do not need to submit a writing sample.: For Grades 7-8: Provide a one-page example of creative writing that demonstrates your fiction writing ability. This can be the first page or an excerpt of the novel you intend to write with us, or any other creative fiction you have written. For Grades 9-12: Provide a two-page example of creative writing that demonstrates your fiction writing ability. This can be the first page or an excerpt of the novel you intend to write with us, or any other creative fiction you have written. How will you submit your child's writing sample?

Upload a file here
Provide a link
Mail it to Open Books (651 W. Lake St, Attn: Publishing Academy, Chicago, IL 60661

Upload Writing Sample

Max. file size: 50 MB.

Link to Writing Sample

I have read and agree to the Publishing Academy policies.*

Yes

I am aware that Publishing Academy is a year-long experience, meeting for 5 weeks in the summer then and on the second Saturday of the month Sept-April.*

Yes

I understand that attendance is required for publication of my child's book, and that if my child misses more than four sessions, the book may not be published.*

Yes

Scholarship Applicants*

Open Books provides need-based scholarships for Publishing Academy. If you wish to apply for a scholarship, please complete the following questions.

I wish to apply for a full scholarship.
I wish to apply for a partial scholarship.
My child does not need a scholarship at this time.

What is your total household annual income?

$0-$35,000
$35,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000-$150,000
$150,000+

How many people are supported by this income?

Number of children or adults in the household attending college.

How many children in your household are applying for Publishing Academy?

One child
Two children
Three or more children

Has your annual salary decreased in the last year?

Yes
No

Statement of Need

Please provide a 1- to 2-paragraph statement expressing your student's need for a full or partial scholarship. Include in the statement an explanation of how your student will benefit from Open Books Publishing Academy. You may include any additional factors which you feel Open Books should be aware of in order to help us make a decision regarding your request. (i.e., any financial difficulties, family expenses, major illnesses, etc.) All shared information will remain confidential. Students 18 and over may write the statement themselves.

In addition to full scholarships, Open Books is able to award some students with a partial scholarship for half tuition. If your student were selected for a half-tuition scholarship, would you be able to afford the remainder of tuition?

Yes
No

Publishing Academy 2020-2021 Application Form