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Section 1: Parental/Guardian Consent

This section should be completed by the applicant's parent or guardian.

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Parent/Guardian Address*

Street Address Address Line 2 City/Town County Postal Code Country

Consent*

I, the parent/guardian of the below applicant, give permission for the applicant to apply to the Edna O'Brien Young Writers Bursary. I accept the terms and conditions of the Edna O'Brien Young Writers Bursary.

Section 2: The Applicant

This section should be completed by the applicant.

Applicant Name*

First Last

Applicant Date of Birth*

You must have been born on or between 10 July 2005 and 9 July 2002 to be eligible.

School/ETB*

Applicant Email*

Section 3: The Application

About You*

Tell us why you should be selected for the Edna O'Brien Bursary in about 300 words.

Your Writing*

Please submit an extract of something that you have written – poetry, prose or non-fiction – in about 300 words .

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Edna O'Brien Bursary Application

Section 1: Parental/Guardian Consent

Section 2: The Applicant

Section 3: The Application