Artistic Outreach Form - Aurora Cultural Centre

We request this information to better serve our clients, deepen our relationships, and form meaningful partnerships.
We acknowledge that, for some, this application process can present a barrier to participate. If you have questions, or would like support or accommodation to complete this application, please email glenn@auroraculturalcentre.ca

Company/Agency Name

Phone Number:(Required)

Website:

Artistic Discipline:(Required)

Personal Statement:(Required)

Tell us a bit about yourself. If you're an agency, tell us about your clients. 250 words max.

Program Delivery and Interests:(Required)

250 words max.

Instructional Experience (con't):

Facebook:

Instagram:

LinkedIn:

Other Social Channels:

As part of our diversity initiative, we kindly ask you to fill out this section based on your level of comfort with disclosure of information.

Gender Identification:(Required)

Pronouns:

If you would like to, please elaborate

Tribal Affiliation

Another race, ethnicity or origin:

Other:

Artist Outreach Form