MONITOR MIX Peer Mentor Group Participants
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone
Are you a current member of Manitoba Music? *
If any, please identify anyone (peers) you'd like to be placed in a peer mentor group with:
If any, please identify any person, living within Manitoba, who you'd like to be mentored by:
Would you be interested in being placed in a group with a mentor from the Indigenous Music Development Program?
Clear selection
If you're aged 50+ would you be interested in joining the 50+ group?
Clear selection
How long have you been active in the music scene?
*
Are you applying as an music creator, music company, or both?
*
Do you make a full-time living as a music creator or music company?
*
If you're applying as a music creator, select all that describe your music experience:
If you're building a career as an artist, select one to three primary goals for the upcoming year?
If you're building a career as a music company, please check ALL that apply to you:
What are the primary genre(s) of the music you create, play, or work for? Select all that are relevant.
*
Required
What is your number one reason for joining a Monitor Mix group?
*
Is there anything else about yourself, your situation or your experiences you'd like to us consider when we're finding you the right group? (optional)
Please check that you have understood:
*
Required
EQUITY & ACCOUNTABILITY
Manitoba Music is committed to equity, and strives for our programming to reflect the diversity of our society and our industry. To help in that work, we ask applicants to self-identify.  This information will be shared only with Manitoba Music staff and the adjudicating committee and will be stored in a secured system. Responses to the following are appreciated but not required.
I identify as...(select all that apply)
I identify as Indigenous. (Please use "Other" to identify your nation(s), region(s), homeland and/or settlement(s))
Clear selection
I identify as 
Clear selection
I identify as
Clear selection
My primary language is
Clear selection
What area of Manitoba, or elsewhere, do you reside?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ManitobaMusic. Report Abuse