Bilingual Author Enrollment Form

Bilingual Author Enrollment Form

Student Information

Date of Birth:    Student ID:

Language Proficiency (Select all that apply)

Spanish (Primary)
Mandarin (Primary)
French (Primary)
Arabic (Primary)
Other (specify)

Secondary language(s) and proficiency:

Parent / Guardian Information (If Applicant Is a Minor)

Enrollment & Program Details

Program Track: Bilingual Writing Workshop    Manuscript Development    Translation & Cross-Language Editing

Primary genre focus:

Current cumulative GPA (if applicable):

Program Start Date:    Expected Completion Date:

Payment plan: Pay in full    Installments    Scholarship/Assistance requested

Submission Requirements & Samples

I confirm that the submitted sample(s) are original or that I hold the necessary rights to submit them for review and potential program publication/translation: I affirm

Author Obligations, Rights & Licensing

By enrolling, the author grants the Program a limited, non-exclusive, royalty-free license to use submitted materials for educational purposes, program display, workshop critique, and limited publication or translation associated with program activities. Any publication beyond program materials will require separate written permission and a written agreement. The author retains all copyright to original works unless a separate assignment is executed.

The author represents and warrants that materials submitted do not infringe third-party rights, contain defamatory material, or violate applicable law. The author agrees to indemnify the Program for claims arising from breach of these representations.

Please select preferred disposition of program-related translations or adaptations (check all that apply):
Non-exclusive permission to publish within Program publications
Permission to translate work for Program educational use
Do not permit publication or translation without separate agreement

Privacy, Data Use & Media Release

The Program will maintain student contact information and enrollment records for administrative purposes. Student work and biographical details may be used in program materials, unless the author opts out below. The Program will not sell personal data to third parties.

I do NOT consent to the use of my name, photograph, or submitted work in promotional materials outside of program coursework.

Attendance, Conduct & Academic Policies

Students are expected to attend scheduled sessions, meet deadlines, and participate in peer critique. Plagiarism or harassment may result in removal from the Program without refund. Reasonable accommodations are available upon request and will be reviewed on a case-by-case basis.

I acknowledge that the Program's rules and policies apply to my participation and I agree to abide by them: I acknowledge

Withdrawal, Refunds & Fee Adjustments

Withdrawal requests must be submitted in writing. Refunds, if any, are subject to administrative assessment based on attendance, materials provided, and incurred program expenses. Fees may be adjusted for special services such as individualized translation or copyediting beyond standard program scope.

I have read and accept the Withdrawal and Refund terms: I accept

Certifications

By signing below the applicant (or parent/guardian if the applicant is a minor) certifies that the information provided in this Enrollment Form is true and complete to the best of their knowledge, that the submitted materials are original or properly licensed, and that they accept the Program terms set forth above. The signatory further authorizes the Program to charge tuition according to the selected payment option.

Applicant status: Applicant is under 18 and signature by Parent/Guardian required

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