Académique Documents
Professionnel Documents
Culture Documents
All information submitted in this form will be kept confidential and only seen by the organizers of the Q? Y Art? Project.
1. BASICS Name (Given, Chosen, Alias): Age: What is your gender identity? Check all that apply: _____ High School Student _____ Part time post secondary _____ Full time post secondary _____ Working part time _____ Working full time _____ Other Contact Information (Please only include information where it is ok to contact you by the name of Q? Y Art? Project) Email: Phone: Can we leave voicemails by the name of Q? Y Art? Project? _____ Yes _____ No Text/SMS: Which part of the Greater Toronto Area do you live in? (This is so we can find a location that works for most people)
2. GETTING TO KNOW YOU Why are you interested in the Q? Y Art? Program and what are you hoping to get out of it?
What are your arts interests and experiences? (No previous experience is necessary!)
What is your connection to South Asian identities? (We recognize that South Asian is a complex identity that cannot be encompassed by a simple listing of geographical places. Your definition of South Asian, and your self-identification as South Asian are what matter)
What is your connection to LGBTTIQQ2S/WSW/MSM communities? (Lesbian Gay Bisexual Trangender Transsexual Intersex Queer Questioning Two-Spirited/Women who have Sex with Women/Men who have Sex with Men)
3. LOGISTICS Food will be provided at every session. What are you dietary needs and/or food allergies?
What format of workshops works better for your availability in July? (Please select all options that work) Saturdays _____ Yes _____ No Sundays _____ Yes _____ No Weekends _____ Yes _____ No Evenings _____ Yes _____ No Daytime _____ Yes _____ No Any _____ Yes _____ No Other (please specify) Are there any specific needs, requirements or challenges that you have in order to fully participate in the program?