ImmersART Application Form
School Contact Information
Each school must have a designated contact person.
School Name
*
Full Legal Name
School Authority
*
Division or District Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal Code
Contact Person's Name
*
First Name
Last Name
Contact Person's Title and Pronouns
*
e.g., French Immersion Teacher, they/them
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Proposed Project Information
Please provide an outline of the project or event you intend to use the funds for. Be as specific as possible.
Planned Date
*
-
Month
-
Day
Year
Date
Activity Title/Name
*
Number of Artists/Performers
*
From the following disciplines, please select all disciplines that are related to your activity
*
Dramatic Arts
New Media/Media Arts
Multidisciplinary Arts
Visual Arts
Dance
Literature
Crafting
Music
Heritage
What grade level(s) does your project target?
*
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Estimated Number of Participants
*
Will this activity be held at a school? If no, please indicate where.
*
Location of Activity
Will this activity be in-person or virtual?
*
In-person
Virtual
Please indicate which event you are proposing. If you have organized your own activity, please choose other.
*
Please Select
Aytahn Ross
Cinemagine
Zephyr
Roger Dallaire
Metis Dancers
Lyne Gosselin
Other
Pick your event.
Please outline your proposed project. Include as much information about the activity as possible.
*
Please provide as much detail as possible.
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Budget Information
Please outline your budget for your event.
Please indicate how much this activity will cost:
*
If you are unsure, please give your best estimate.
Please indicate the total cost of student transportation for this activity. If no transportation costs are necessary, enter 0.
*
Cost of Student Transportation
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Acknowledgements
Please read each of these acknowledgements carefully before submitting your application.
By clicking here, I consent for my school becoming an Affiliated Partner Organization (APO) of CPF for a term of one (1) year. This membership will ensure first access to all of CPFs activities and opportunities.
*
Yes, I consent for my school to become an APO of CPF.
No, I do not consent for my school to become an APO of CPF.
I certify that the proposed activity encourages student participation in activities related to the arts, culture or heritage.
*
Please Select
Yes
No
I certify that the proposed activity includes the promotion of the heritage of official language minority communities through artistic or cultural activities that involve the participation of the targeted community AND/OR Increased visibility of the artistic and cultural expression of official language minority communities (influence).
*
Please Select
Yes
No
I hereby certify that the information provided in this form is complete, true and correct to the best of my knowledge.
*
Please Select
Yes, I understand.
Submit
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