Writers in Schools Single Visit: Application Form

Writers in Schools Single Visit: Application Form

This form must be submitted at least 3 weeks before proposed visit date
A type vist 2 hours classroom time

Cost to school: €100/£85 per visit
B-type visit: 4 hours classroom time

Cost to school: €200/£170

(B-type visits are for special projects only and typically

involve a single class group. Should you wish to apply

for a b-type visit, please contact Writers in Schools

to discuss your proposal).
Type of Visit
Name Of School*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School's Phone Number

Area CodePhone Number
School's email*
Roll Number
DEIS School*

YesNo
Teacher

First NameLast Name
Contact Email
Mobile Number

Area CodePhone Number
Single Visit Date*

MonthDayYear
Name Of Writer*
I have been in direct contact with the writer to agree the date*

Yes
Class
Number Of Students
Aim of Visit*
Expected outcomes*
What are the main challenges with facilitating remote workshops and visits?*
It would be useful if you could outline, as appropriate, any requirements such as special needs, ESL/EAL students, specific cultural sensitivities, recent bereavements or traumatic events
Should the teacher be absent from the classroom for any reason during the writer’s visit, responsibility for any incident which may occur during his/her absence rests entirely with the school, and the school further agrees to indemnify the writer and/or Poetry Ireland Writers in Schools without limitation in respect of same.

Please read our single visit financial terms
I have read, understand and agree to the above condition and single visit terms*

Yes
Writers in Schools, Poetry Ireland, 11 Parnell Square East, Dublin 1

Phone: +353 1 678 9022 Email: writersinschools@poetryireland.ie
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