— Survey Form — Writer Applications Ivy Life & Style Media Writer Application Please fill out your information so that we can consider you as one of our freelance writers! Name(Required) First Middle Last Phone(Required)Email(Required) Enter Email Confirm Email Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am interested in writing for:(Required)We have several different publications, all requiring a unique writing style. Let us know your preferences! Virginia Wine & Country Life Virginia Wine & Country Weddings Charlottesville Family Select AllTopics I have experience writing in:(Required)What are the topics you have written professionally about? Is there anything specific you specialize in? Add RemoveTopics I'm interested in exploring:Are you looking to explore something new in your writing portfolio? Let us know here! Add RemoveEducation(Required)SchoolYearSubject Studied Add RemoveProfessional Experience(Required)CompanyYears EmployedMain Topic of Expertise Add RemoveNotable Published Works Add RemoveProfessional Awards and/or Designations Add RemoveDo you have experience writing for websites and/or blogs?(Required)YesNo {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…