Prague City of Literature

WRITER/TRANSLATOR-IN-RESIDENCE PROGRAMME
APPLICATION FORM for the residencies in 2018

I. PERSONAL INFORMATION

First name: ________________________________________________________________________

Last name: _________________________________________________________________________

Date of birth: _______________________________________________________________________

City of birth: _______________________________________________________________________

Gender: Male Female

Home address:

Street, House No., Apartment No.: _____________________________________________________

Zip code: ___________________ City: ___________________________________________________

Phone number (with the international dialling code): ______________________________________

E-mail address: _____________________________________________________________________

Citizenship: ________________________________________________________________________

Occupation: ________________________________________________________________________

II. PROFESSIONAL EXPERIENCE

Educational experience (degrees, field of studies):

__________________________________________________________________________________
__________________________________________________________________________________

Chronological list of published books (and if there are any translations into Czech)/ Chronological
list of published translations of Czech authors (title, publisher, year of publishing):

1
Description of your writing / translating experience (max 150 words):

Optional: You can send as an attached file writing sample (in Czech or in English) or translation
sample (max 2 pages).

Former residencies (list the residential programmes you have participated in):

III. RESIDENCY IN PRAGUE

Synopsis of the proposed project you would like to work on during your residency (max 100
words):

2
Letter of motivation (max 250 words):

Jdfh

Do you have any connection to one of the UNESCO Creative Cities of Literature (e.g. current
domicile)?

Yes No
If yes, explain briefly your connection to the city:
__________________________________________________________________________________
__________________________________________________________________________________

What are your preferences for the period of the two-month residential stay in 2018?*
*You may choose from one to all six options.
1) January February 2) March April 3) May June

3
4) July August 5) September October 5) November 15th of December

The application can be completed in English or in Czech language.

Send the application till 31st of August 2017 to viktor.svoboda@mlp.cz. You will
receive a confirmation e-mail that we have received your application.

If you have any further questions, please contact Viktor Svoboda,

viktor.svoboda@mlp.cz, +420739481528.