Mestizo Arts & Activism Application 2019-2020
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 16th.

Mondays & Wednesdays | 3:30 – 6:00pm
September 23, 2017 – May 2019
Jackson Elementary|750 West 200 North| SLC, UT 84116
Cell Phone
Home Phone
Current Grade
Clear selection
Parent/Guardian Name
Home Phone
Relationship to Student
Cell Phone
Parent/Guardian Email
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
Please choose TWO areas that you would be interested in learning more about (these can change later). *
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
Please email us at if you have questions about any part of the application or program.

Thank you!
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