Q? Y Art?

Application Form Group 1 (Youth 13 19)*

Call out to South Asian Youth (13 19) to participate in a free youth by youth arts program to explore arts as a form of self-expression! The program will run on Tuesdays and Thursdays from May 15-31, 2012 starting at 4:30 pm (location and ending time to be determined based on youth input by April 25 so get your application in now!). The location will be fully wheelchair accessible, including washrooms. We are striving to have a location with gender neutral washrooms will definitely have single stall washrooms. Q? Y Art? is a 6 session multi-disciplinary arts program for South Asian youth (13-19) who identify as members of LGBTTIQQ2S/WSW/MSM** communities; youth will engage in arts practices, create portfolios and launch their work. *There is a second group that will run mid-summer for youth 20-29; please visit www.qyartproject.com for details and application. **By LGBTTIQQ2S/WSW/MSM, we mean Lesbian, Gay, Bisexual, Transsexual, Transgender, Intersex, Queer, Questioning, Two Spirit, Women who have Sex with Women, Men who have Sex with Men Come to: Hang out and learn from youth artists Experiment with multiple art forms Use art for self-expression Connect and build community with peers Have your work published and launched Please visit our website for program details including our values, safety, confidentiality and other resources. If you are interested in being involved in this program, but have needs and requirements not reflected please contact us at qyartproject@gmail.com for info and feedback. Other information: Food and TTC Tokens will be provided High school students can complete part of their community service hours requirement through this program This arts and leadership program will including creative writing and performance opportunities, plus an opportunity to talk about histories as well as current events, as they can relate to South Asian LGBTTIQQ2S/WSW/MSM youth. The program works to challenge queer and trans phobia, as well as racism were trying to create a space for youth to talk about how they experience these, whether external or internalized. There is definitely room for you to tailor the program to what you want! Please submit your application by Friday, May 11th to qyartproject@gmail.com. We will get in touch with people as we receive applications! Send in yours as soon as possible! If you would like to fill out this form in some other way, get in touch with us at qyartproject@gmail.com or call 416 599 2727 ext. 230. All applicants who are self-identified as South Asian and LGBTTIQQ2S/WSW/MSM youth will be admitted into the program. This application is to gather some basic info/needs so we get a sense of where each person is at and the group dynamic. All information submitted in this form will be kept confidential and only seen by the organizers of the Q? Y Art? Project.

Q? Y Art? Project Application: Youth 13 - 19

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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?

Q? Y Art? Project Application: Youth 13 - 19

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(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)

Tell us a bit more about you...

3. LOGISTICS Food will be provided at every session. What are you dietary needs and/or food allergies?

Can you attend all of the following workshop dates? (We strongly urge you to attend all sessions, however if you cannot make one or more of the sessions, please let us know. Not being able to attend all sessions doesnt mean that you cant participate in the program) Tuesday, May 15 _____ Yes _____ No Thursday, May 17 _____ Yes _____ No Tuesday, May 22 _____ Yes _____ No Thursday, May 24 _____ Yes _____ No Tuesday, May 29 _____ Yes _____ No Thursday, May 31 _____ Yes _____ No Are there any specific needs, requirements or challenges that you have in order to fully participate in the program?

Any else youd like us to know?

Q? Y Art? Project Application: Youth 13 - 19

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