Calaveras County Poet Laureate 2026-2028
APPLICATION FORM
First & Last Name _______________________________________________
Professional name (if different from legal name) _________________________________
Mailing Address _______________________________________________
Street Address (if different) _______________________________________________
City ______________________________________
Zip Code _____________________
Daytime Phone _____________________
Evening Phone ________________________
Date of Birth ________________________
Email _______________________________________________
Website_________________________________________
Social Media addresses:
Facebook/Instagram/X/Other/Blog (name): Please list these in order of preference:
Current residency in Calaveras County began in (give the year) ___________________
Statement of Eligibility
Please document your eligibility by highlighting Yes or No in response to the following questions:
Y N I am at least 22 years of age.
Y N I am actively working in the field of poetry and have been published and/or recognized for my contributions.
Y N I am the single creator of the work/s submitted for review.
Y N I have not served as a member of the Calaveras County Arts Council Board in the past year.
Y N I am a current resident of Calaveras County for the past three full years.
Y N I am physically and emotionally able to carry out the duties of a poet laureate, which includes providing one’s own transportation and materials, utilizing advanced technology skills, and demonstrating communications expertise.
If you answered “no” to any of the above criteria, you are NOT eligible to serve as Calaveras County Poet Laureate.
I certify that I meet all eligibility requirements listed in these guidelines, and that all the information in this application and its attachments is true and correct to the best of my knowledge, and that I have submitted a complete application.
Applicant’s Signature ____________________________________
Date _____________