2025 Fellows Retreat Forms Legal Name * First Name Last Name Preferred Name Preferred Pronouns Age Please note your Tribal affiliation: * We also recognize that community names are not always the same as the names used for tribal enrollment, descendant, or affinity. One of In-Na-Po’s practices is to include community affiliations after names, how would you like your affliation listed? Ex: Annie Wenstrup (Dena’ina) Email Phone * (###) ### #### Address * Food Allergies Dietary Preferences ie. Vegan, Vegetarian, Pescatarian etc. ADA Accommodations Planned mode of travel to New York City * Long Form Bio * Short Form Bio * 1-2 sentences written in 3rd person. Ex: Annie Wenstrup is a Dena’ina poet enrolled in the Salamatof Tribe. Her poems have appeared in Alaska Quarterly Review and The New England Review Facebook Instagram Twitter Website Additional Questions, Comments or Concerns? FileField; MaxSize=3000KB; addText=Upload_Portrait; Thank you! Community Guidelines Forms Media Consent Form Liability Waiver jodi@indigenousnationspoets.org Any retreat questions can be addressed to Annie: annie@indigenousnationspoets.org Travel Form Please sign and forward each of these forms along to:
