Apply

Please note that you MUST fill out a first, second, and third choice. Faculty and/or class cancellations may occur. In the case of a workshop being full or cancelled, we will move to your second or third choice. Naropa MFA and BA students will have first priority in choosing workshops. Noncredit students will be served on a first-come, first-served basis. While you are not guaranteed your first choice, we will do our best to accommodate everyone.

* REQUIRED

Student Last Name: *

Student First Name: *

Address: *

City: *

State: *

Zip Code: *

Phone: *

Email: *

DOB:

(MMDDYYYY)

WORKSHOPS: (please pick your faculty choice from the pull-down menu)

Registering for noncredit for (please check):

Week One: June 15–June 21
         Outrider: Jack Kerouac School Lineages
Week Two: June 22–June 28
         Contemplative Poethics: Endangered Species
         and Imagination
Week Three: June 29–July 5
         Polyvalent/Rhizomic Identities
Week Four: July 6–July 12
         Artistic Sangha: Performance, Publishing,
         Community & Collaboration
All Four Weeks: June 15–July 12

Week One:

First Choice: *

Choose One

Second Choice: *

Choose One

Third Choice: *

Choose One

Week Two:

First Choice: *

Choose One

Second Choice: *

Choose One

Third Choice: *

Choose One

Week Three:

First Choice: *

Choose One

Second Choice: *

Choose One

Third Choice: *

Choose One

Week Four:

First Choice: *

Choose One

Second Choice: *

Choose One

Third Choice: *

Choose One

Summer Writing Program Tuition NonCredit: $475 per week (4 weeks = $1,800)
Registering noncredit for (please check):

Week One:	$475	Outrider: JKS Lineages	6/15–6/21
Week Two:	$475	Contemplative Poethics: Endangered Species and Imagination	6/22–6/28
Week Three:	$475	Polyvalent/Rhizomic Identities	6/29–7/5
Week Four:	$475	Artistic Sangha: Performance, Publishing, Community & Collaboration	7/6–7/12
	OR
All Four Weeks:	$1,800	(Check here if you are registering for all four weeks. Do not check individual boxes)	6/15–7/12
		Total Tuition:	$

Payment in full must accompany this Registration Form. Please DO NOT SEND CASH.
Please Note: You do not use this form to register and pay for summer housing. Please call the Naropa University Housing Coordinator at 303-447-3846 to reserve a room.

VISA

Credit Card #:

Exp. Date:

CVV Code:

NAME on CARD:

Check #:

Money Order #: (Payable to Naropa University)

PLEASE SIGN HERE
By checking the signature box below, you are agreeing to the following statement:

"I understand that I am financially responsible for the course(s) for which I am officially registering. I also understand that the registration and drop/refund policies of Naropa University apply."

Signature: *

site map contact faculty and staff employment