Name:_______________________________________________
Phone: _____________________________
Email:_________________________________________
Address:______________________________________________
Years spent writing: _______________________
Level of writing (i.e. beginner/experienced/published): _________________________________
Genre or field of interest ( Poetry: Fiction: romance, mystery, human drama. Nonfiction: biography, scientific, etc. ). _______________________
Writing goals – (Publication: what medium would you like to be published (i.e. books, newspapers, magazines)? Writing improvement? Pleasure? Seeking a publishing house or agent? __________________________________________________________
Professional writing organizations to which you belong: ______________________________________________
For which genre do you wish to form a critique group? ________________________________________
With what level of writer are you willing to work? _______________________________________
Have you ever been in a critique group or had a critique partner before? If yes, what were its benefits and strengths?
_________________________________________________________
_________________________________________________________
How often would you like to meet – once a week or once a month? _____________________________________________
What day and time would you like to meet (weekdays, weekends, day or evening)? ____________________________________
What are your expectations of the critique group experience? Why does it interest you?
__________________________________________________
Please complete this form and send to:
Midwest Writing Center
225 East 2nd St., Suite 303
Davenport, Iowa 52801
For further information on writing groups, Midwest Writing Center events and opportunities, consult our website at : www.midwestwritingcenter.org or call (563) 324-1410
The Center will attempt to match like-minded writers into categories of critique groups. Volunteers are welcome to help with this task. Please call if you’re intereste