Youth Outreach Program Application Name Pronoun: Date of Birth: Age: Phone (Cell) Phone (Home) Street Address: City: Province Postal Code: Email: School: Grade: First Emergency Contact Name: First Emergency Contact Phone Number: Second Emergency Contact Name: Second Emergency Contact Phone Number: Allergies: Where did you find out about the Youth Outreach Program? Why are you interested in taking the Youth Outreach Program? What would you like to learn and achieve from the program? Describe your experience with art making. ***Please attach 3 examples of your artwork, in any medium: Apply Now! What's On / What's Next Embedded // Monique Fillion May 17, 2023 Steal This Poster Exchange // Call For Submissions April 5, 2023 Layered Histories: Perspectives on Colonization from the Chaco // Miriam Rudolph March 24, 2023 WOW MOM // Marlene Yuen and Vanessa Hall-Patch February 10, 2023