Canvas for Change Application

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Name*
Parent/Guardian Name*
Mailing Address*
How do you identify? Please check all that apply:*
Please provide us with any information about you that will help us make your experience better. For example, accessibility, food allergies, behaviour challenges etc. If there is nothing, please put none.
Photo Permissions
A brief description regarding why you would like to be selected to participate in this program.
Image of an artwork recently completed (no more than 2 years old) at a max of 300 dpi.
Max. file size: 8 MB.