Name
Please enter your name.
First Name
Last Name
Pronouns
Email
Date of birth
Please enter your date of birth.
MM
DD
YYYY
Program Location
Toronto Specific
Richmond Hill Specific
Mississauga Specific
Ontario
Guelph University
Other
Arts Res Online Residency
Program Type
Online
In-Person
Hybrid (both online & in-person)
Program Subject
Collaging
Painting
Photography (DSLR) (Level One)
Photography (DSLR) (Level Two)
Photography (Mobile)
Poetry (Level One)
Poetry (Level Two)
Filmmaking
Storytelling
Jewelry-Making
Painting
Other
Have you been a Junior Mentor or Mentor?
2018 Junior Mentor
2019 Junior Mentor
2020 Junior Mentor
2019 Mentor
2020 Mentor
2021 Mentor
I have not
Do you identify as part of the LGBTQIA2S+ community?
*Lesbian, Gay, Bisexual, Trans, Queer/Questioning, Intersex, Asexual, and Two-Spirit folks
Yes
No
Do you live in a remote or rural area?
Yes
No
Do you identify as being Indigenous to Canada?
Select all that apply.
Registered on-reserve
Registered off-reserve
Non-status
Métis
Inuit
First Nations
Do you identify as being Indigenous to a country outside of Canada?
Yes
No
Please specify the country, if comfortable.
Do you identify as a visible minority/racialized?
Yes
No
If comfortable, please specify how you identify.
Do you identify as living with a physical disability?
Yes
No
Do you identify as living with a mental disability?
Yes
No
Do you identify as experiencing mental health challenges?
Yes
No
Do you identify as experiencing homelessness and or precarious housing?
Yes
No
How do you identify?
Male
Female
Transsexual/Transgender
Intersex
Two-spirit
Other
Do you identify as being a Newcomer / refugee to Canada (within the last 7 years)?
Yes
No
Do you identify as being an immigrant to Canada (based in Canada for more than 7 years / generational immigrant)?
Yes
No
Level of education completed?
Elementary
Secondary
Post-secondary (college, CEGEP)
University
How are you enjoying the program so far?
Share what your experience has been like so far. What have you learned? Have you made new friends/found access to community? Share anything that comes to mind!