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
Name
Your answer
School
Your answer
Address
Your answer
Cell Phone
Your answer
Home Phone
Your answer
Email
Your answer
Gender
Your answer
Ethnicity
Your answer
Current Grade
Parent/Guardian Name
Your answer
Home Phone
Your answer
Relationship to Student
Your answer
Cell Phone
Your answer
Parent/Guardian Email
Your answer
What extracurricular activities & community projects are you involved in?
Please write 100-300 words
Your answer
Are you usually available to meet at Jackson Elementary on Monday and Wednesday from 3:30 - 6:00pm
Your answer
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
Your answer
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
Your answer
What do you think is/ are the most important issue(s) for young people today?
Please write 100-300 words
Your answer
Please choose TWO areas that you would be interested in learning more about (these can change later). *
Required
How did you hear about MAA?
Your answer
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
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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