First Name * Last Name * Email * Phone * Country (###) ### #### Date of Birth * MM DD YYYY Country * Street Adress * City * State * ZIP * Institutional Affiliation Educational Status * Undergraduate Graduate Non-Traditional Will you be seeking academic credit? * Yes No Name of your most recent writing instructor: The name of the writing instructor who has been most influential to you: The title of the most recent book by the individual cited above: Which pricing category do you belong to? * Check the Key Information page for details and conditions. Base Price ($2,300) Undergraduate Student Price ($1,500) MFA/PhD Title-Holder Price ($1,500) Graduate Student Price ($1,000) Czech or Ukrainian Resident Price ($550) How did you hear about the Prague Summer Program? * Internet search Social media A past PSP participant An instructor Other Thank you for submittig your application! You’ll hear from us in the following days.
