Name of poet Website Optional Email address Primary phone Street address City State Zip Provide a brief biography. Biography should be written in the third person. If selected to read in the series, the biography would be included in promotional materials. List published work. Optional Include three representational examples of your poetry. Sample 1 Sample 2 Sample 3 How did you learn of the Third Thursday series? Have you ever attended a reading in our series? yes no CAPTCHAThis question is to help prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.