Group mentorship (16-19 year olds) form

Program applying for (check one)*

Filmmaking with your Smartphone (film)
Intro to the Music Biz (music)
The Art of Games (interactive media)
Exploring the Elements of Fiction (creative writing)

Applicant's Name*

First Last

Applicant's Preferred Pronouns*

examples: he/him, they/them, she/her, he/them, she/them

Do you self-identify as a visible minority?*

(The Employment Equity Act defines visible minorities as “persons who are non-Caucasian in race or non-white in colour”). Creative Manitoba pledges to make best efforts to prioritize opportunities for people with diverse backgrounds or from equity-seeking individuals and communities, with the goal of 50% of programs holding space for participants who identify as IBPOC or from equity seeking groups.

Yes
No
prefer not to answer

Self-Identify

Creative Manitoba pledges to make best efforts to prioritize opportunities for people with diverse backgrounds or from equity-seeking individuals and communities, with the goal of 50% of programs holding space for participants who identify as IBPOC or from equity seeking groups. If you feel comfortable please provide details on your self identity.

Applicant's Email*

Applicant's phone # (best to reach you)*

Your age (as of February 2023)*

Participants must be between 16-19. If you are turning 16 this year please contact the program manager for permission to apply.

Applicant's address*

Street Address City State / Province / Region ZIP / Postal Code Country

Nominator's name*

First Last

Nominator's email*

Nominator relationship to applicant*

Examples: Teacher, Instructor (please list the school and department/class), mentor *no relatives

Nominator form *required**

Attach the completed, signed nominator form (found on the main Group Mentorship page under “How to Apply”) Make sure your name is in the file name.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB, Max. files: 1.

Permission form *required only if applicant is under 18*

Attach the completed, signed permission form if you are under 18 (found on the main Group Mentorship page under “How to Apply”) Make sure your name is in the file name.

Accepted file types: pdf, Max. file size: 512 MB.

Breakout Session # 1 Choice*

Take a look at the different break-out sessions offered below and feel free to fill in the info for your top two choices. All breakout sessions will take place in person Thursdays 6:00 – 8:00 March 9, 16, 23, 30, April 6, 13.

1. Songwriting
2. Music Engineering & Production

Breakout Session # 2 Choice

1. Songwriting
2. Music Engineering & Production

Intro to the Music Biz – Video submission option

If you would prefer, you can film yourself answering the following several questions in a short 1-2 min video explaining why you’d like to be in the program and what experience you have and attach here! (If you choose this option instead of filling in the answers below just write “see video” in the answer boxes for the required questions)

Drop files here or

Accepted file types: mp4, m4a, avi, mov, wmv, flv, Max. file size: 64 MB.

What interests you in this program?*

What about this program excites or interests you, and why do you feel you would benefit as a participant?

Tell us a bit more about you!*

Do you have any goals to continue in this creative field? As a hobby / As a career? What do you love to do in your spare time?

Art of Games – sample drawings

Please attach samples of drawings of characters or video game ideas, if you have any to share!

Accepted file types: pdf, word, Max. file size: 64 MB.

Exploring the Elements of Fiction – sample writing

Please attach samples of your writing, if you have any to share!

Drop files here or

Accepted file types: pdf, word, Max. file size: 64 MB.

Songwriting Breakout – The questions below will help us understand a bit more about you.*

1. Have you written any songs with lyrics and/or instrumentals?

Songwriting Breakout – Question #2*

2. Do you play any instruments? If yes, which one(s) and for how long?

Songwriting Breakout Question #3*

3. Have you released any of your music before (eg. On streaming platforms or physical copies)?

Yes
No

If yes, tell us more about the release(s) and share a link to where we can listen:

If no, are you planning on releasing music in the near future?

Songwriting Breakout Question #4

4. Who are some of your favourite songwriters and why do you like them?

Engineering Breakout – The questions below will help us understand a bit more about you.*

1. Do you have experience in recording music? If so, what equipment and programs do you use and would you have access to the equipment and programs during the program? (eg. your own laptop, school computer access)

Engineering Breakout – Question #2*

2. Why would you like to learn more about Sound Engineering?

Engineering Breakout – Question #3*

3. If you could produce or engineer an album for any artist/band, who would it be and why?

Engineering Breakout – Question #4

Please provide links to any audio examples of your work (eg. youtube, google drive, dropbox, soundcloud, bandcamp)

I have read the full program details and dates, and confirm that I am fully available for this program.*

Requirements – Intro To the Music Biz Group Sessions*

I understand that the program consists of four online Intro to the Music Biz sessions and 6 in-person Small Group sessions. During this program we will connect and communicate through Discord. If accepted, you will require access to a computer or tablet with video/audio and need to create an account and share your username with us. More info about Discord here: https://discord.com/

Virtual requirements*

I confirm that I have the necessary requirements required to participate in this virtual program (desktop or laptop, internet, video & audio capabilities)

In Person Safety Regulations*

I understand that masks are recommended, and that if I have any symptoms or am not feeling well I must let my lead mentor know and stay home. When possible ability to join virtually will be set up.

Please check all that apply to your current situation:*

Attending high school
Working full-time
Attending post-secondary education
Working part-time

How did you hear about the program?*

Creative Manitoba Instagram / Facebook / website
Partner Organization Instagram / Facebook / website
From my school / teacher / program leader / community leader
From my nominator
From a peer / word of mouth
Creative Manitoba newsletter
Other

If other, please specify

Group Mentorship Program Application

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