TNEO '05 ENROLLMENT FORM/QUESTIONNAIRE

NAME:

ADDRESS:

PHONE:

E-MAIL:

SOCIAL SECURITY NUMBER (REQUIRED):

ODYSSEY GRADUATION YEAR:

 

HOUSING:

We will do everything possible to accommodate your requests and match you with a compatible roommate. But we cannot guarantee to give you your housing preference.

Please Circle all that apply to you, or if filling out this form via email, Delete all that don't apply.

 

1. I would prefer a   single room / double room / either is okay / first-floor apt.

 

2. I am a   smoker / non-smoker

 

3. If I have a roommate, I would prefer a   smoker / non-smoker / either is okay

 

4. I tend to   get up very early / stay up very late / be messy / be neat / be sociable / be a loner / have music or TV on / like silence

Other habits you feel are relevant: ____________________________________________

________________________________________________________________________

 

5. I would prefer a roommate who tends to   get up very early / stay up very late / be messy / be neat / be sociable / be a loner / have music or TV on / like silence

Other preferences: ________________________________________________________

________________________________________________________________________

 

WRITING:

6. I plan to submit   novel chapters / short stories / a mix of both

(please explain)__________________________________________________________

________________________________________________________________________

 

7. The area of my writing I feel is weakest is   characterization / plot / setting / style / POV / other

(please explain)__________________________________________________________

________________________________________________________________________

 

8. The area of my writing I feel is strongest is   characterization / plot / setting / style / POV / other

(please explain)__________________________________________________________

________________________________________________________________________

 

9. I would be willing to give a mini-lecture on the topic of ________________________

________________________________________________________________________

 

10. I would be willing to help plan and participate in a panel discussion

on the topic of ___________________________________________________________

________________________________________________________________________

 

11. I would be willing to lead a writing exercise to aid in __________________________

________________________________________________________________________

 

12. I would be willing to organize and run a brainstorming or problem-solving session focused on _______

________________________________________________________________________

________________________________________________________________________

 

13. I would like to hear others give a lecture or have a panel discussion on _______

________________________________________________________________________

________________________________________________________________________

 

14. I would like to have someone else lead a writing exercise focused on _______

________________________________________________________________________

 

15. I would be interested in participating in a daily "writing hour," where I would get
together with other TNEOers to write at a set time, encouraging my productivity at the
workshop, and the time that would work best for me is _______

________________________________________________________________________

 

16. I would like to suggest this additional activity: _______

________________________________________________________________________

 

17. At this moment I plan to focus on: science fiction / fantasy / horror

 

18. I am a novelist and want to participate in the synopsis critique session.   Yes / No

 

LOGISTICS:

19. I am planning to bring or rent a car while at TNEO.   Yes / No

 

20. I am planning on bringing a laptop or desktop computer for TNEO.   Yes / No

 

21. I have a disability and have special needs: __________________________________

________________________________________________________________________

 

22. I make sounds when I sleep that may be disturbing to others: __________________________________

________________________________________________________________________