Mestizo Arts & Activism Application

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Are you interested in ARTS & ACTIVISM? Want to get involved in Social Justice issues? Earn College credit?

Apply now and tell a friend! Please submit your application by September 28th.

Wednesdays | 3:30 pm – 6:00 pm
October 19th, 2022 - Spring 2023
Mary W. Jackson Elementary | 750 West 200 North | SLC, UT 84116

*all your information is visible only to the MAA team and kept safe*

Name

School

Address

Cell Phone

Home Phone

Gender

Ethnicity

Current Grade

9th

10th

11th

12th

Clear selection

Parent/Guardian Name

Home Phone

Relationship to Student

Cell Phone

Parent/Guardian Email

Have you received Covid-19 vaccination?

Yes

Clear selection

Do you have any food allergies? If yes please list

What extracurricular activities & community projects are you involved in?

Please write 100-300 words

Are you usually available to meet at Jackson Elementary on Monday and Wednesday from 3:30 - 6:00pm

What is your experience with the arts?

Examples include (but are not limited to): writing, dancing, painting, drawing, digital media, singing. Please write 100-300 words

The Mestizo Arts & Activism Collective is an equal opportunity community organization. Do you have any needs or physical restrictions that may need accommodation?

*Dietary restrictions included

What do you think is/ are the most important issue(s) for young people today?

Please write 100-300 words

How did you hear about MAA?

In addition, we also ask that you submit a piece of art or media that answers the question, WHAT DOES ACTIVISM MEAN TO YOU? *

This does NOT have to be something you have created or is original, but can be by another artist that you like. Some examples include (but are not limited to): photograph, spoken word piece, poem, song lyrics, music video, story, painting, graffiti art, pencil sketch, or drawing

I will email my art piece (or a photo and description of it) to mestizo.artivism@gmail.com

OR I will deliver a hard copy of my art piece to my high school UCAC advisor. (Only for Highland, East, Granger, West, Kearns, and Cottonwood)

Required

Questions?

Please email us at mestizo.artivism@gmail.com if you have questions about any part of the application or program.

Thank you!

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