Please give this section to someone familiar with your writing other than a member of your immediate family.

APPLICANT'S NAME (please print) ____________________________________________

YOUR NAME (please print)____________________________________________________

Your relationship to the applicant?_________________________________________

Thank you for your specific comments concerning this writer's strengths, weaknesses, and suitability for our program. Please comment on her/his commitment to writing and ability to work with peers. Comments will remain confidential. Feel free to attach additional information if you require more space.

Your signature ________________________________________________________

Phone___________________________       E-mail____________________________

Address______________________________________________________________

_____________________________________________________________________

Position__________________________       Institution__________________________

Please postmark by

MONDAY, MARCH 15, 2004.

To receive additional applications, please indicate quantity: ____

MAIL TO:

UVA WRITERS WORKSHOP

P.O. BOX 400273

CHARLOTTESVILLE, VA 22904-4273

For more information, please call (434) 924-0836, e-mail: writers@virginia.edu, or visit our web site at http://www.people.virginia.edu/~eds-yww.