Pencil and Palette Entry Form
Please submit one form per entry. There is a file size limit of 1 GB, if your entry file is larger, please contact help@improvingyouthjustice.org.
Your Name:
*
First Name
Last Name
Your Email Address:
*
example@example.com
Your Facility/Program Name:
*
Please enter as it appears on the website
State
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Name(s) of artist:
*
Please separate names by commas
Entry Category:
*
Poetry
Drawing
Short Story/ Essay
Which prompt is answered by this entry?
*
1. Role of mentors and advocates
2. Strength in struggle
3. Reflect on how experiences have shaped you
Name of entry:
*
Provide a short description of the performance. Please share any unique information about it.
*
CIYJ's policy is to share a young person's first name and the facility name when publicizing art. Please review the list below to indicate how much information would be appropriate to share for the artist.
*
First name only
Initials only
Anonymous
Other
Please upload entry file here.
*
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