Flyers – The Dr. Kim

go fund me

go fund me

FILL OUT APPLICATION BELOW

To know more about program email Dr. Kim at
drkim@thedrkimexperience.com

First Name

Last Name

Preferred Name or Nick Name

Cell number

Confirm Cell number

Email Address

Confirm Email Address

Do you have a computer, tablet, or cellular phone that you can use for your writing?
YesNo

Address

City

State

Zip

Age

birthdate

School Name

Grade

What is your greatest strength?

In a few words, what is your strongest weakness?

Name your favorite subject?

Please provide a 4-6 sentence writing sample of the type of book you desire to write and why

Do you consider yourself a writer?

How did you hear about this program?

Your initials below indicate your agreement with the requirements of this program:

OVER 3 MISSED ZOOM WRITING SESSIONS WITHOUT AN ADEQUATE REASON WILL CAUSE THE PARTICIPANT TO BE RELEASED FROM PROGRAM

NO PLAGIARISM: ALL WORK PUBLISHED MUST BE ORIGINAL WORK

YOUR GUARDIAN WILL NEED TO CONFIRM THEIR KNOWLEDGE & AGREEMENT THAT YOU ARE IN THIS PROGRAM

ALL PUBLISHED BOOKS MUST BE FREE FROM PROFANITY, GENDER & FAITH DISCRIMINATION ALONG WITH VIOLENT & HARMFUL CONTENT

WRITING ASSIGNMENTS WILL BE REQUIRED OUTSIDE OF OUR ZOOM MEETINGS IN ORDER TO COMPLETE THE BOOK IN A TIMELY MANNER

IF APPLICABLE, THE SPONSORS LOGO MAY BE PRINTED IN THE BACK OF THE BOOK

PLEASE TYPE OR SIGN YOUR NAME & THE DATE

39439

This program is designed to take young writers through the process of writing a short book, and we are seeking students who have a passion for writing and a strong commitment to the creative process. As a part of our application process, we ask that each applicant provide a recommendation from someone who knows them well and can speak to their qualifications for the program. After completing the application, please share this link with someone who can complete the recommendation on your behalf.

The recommendation form should take approximately 10-15 minutes to complete, and we greatly appreciate your time and input.

FILL OUT APPLICATION BELOW

To know more about program email Dr. Kim atdrkim@thedrkimexperience.com

Your initials below indicate your agreement with the requirements of this program:

To know more about program email Dr. Kim at
drkim@thedrkimexperience.com