MONITOR MIX Peer Mentor Groups
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Email *
Full Name of Participant *
Phone Number of Participant *
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 Program?
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If you are between the ages of 16 and 22, would you be interested in being placed in a group with a mentor from the Youth Mentorship Program?
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If you're aged 50+ would you be interested in joining the 50+ monitor mix group?
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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 year 2021?
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 your project, or your goals you'd like us and/or your mentor to know? (optional)
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
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))
I identify as...
I identify as...
My primary language is:
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What area of Manitoba, or elsewhere, do you reside?
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