ECHOFORM — Participant Application Form

Section 01

About You

Basic information so we know who we're talking to.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Preferred Name (optional)

Pronouns (optional)

Email Address *

Please enter a valid email address.

Phone Number (optional)

Age *

16–17 18–21 22–25 26–30

Please select your age range.

City / Province *

Please enter your city.

How will you primarily attend? *

In-person (Edmonton area) Virtual (online) Hybrid — flexible depending on session

Please select an attendance mode.

Section 02

Identity & Background

All questions optional. Helps us ensure the cohort reflects the full range of youth experience.

Note: Demographic responses are anonymous and never shared in identifiable form with partners. They do not affect your application outcome.

What language(s) do you most comfortably communicate in? (optional)

Are there any access needs we should be aware of? (optional)

Access needs do not affect your application. We use this to support your full participation before confirming your spot.

Section 03

Your Story & Motivation

This is the heart of your application. Write like yourself — not like an essay. There are no wrong answers.

1. Tell us about yourself in a few sentences. Who are you, and what makes you, you? *

Please answer this question.

2. Why do you want to join the ECHOFORM Artivism Cohort? What brought you here? *

Please answer this question.

3. Is there a social issue, community challenge, or civic question that lives in your mind — something you think about or feel called to do something about? *

Please answer this question.

4. Have you ever used creativity — art, writing, music, photography, storytelling, or anything else — to express something you cared about? (optional)

5. The cohort asks participants to be present, curious, and willing to engage with ideas that might challenge them. What does showing up fully look like for you — and is there anything that makes that hard right now? *

Please answer this question.

6. What do you hope to walk away with at the end of this cohort? *

Please answer this question.

Section 04

Video Response (Optional but encouraged)

Your chance to show us who you are beyond the written word. Keep it real — we're not looking for production quality.

Prompt: Record a 60–90 second video answering: "If you could leave one message for a young person who feels like the world wasn't made for them — what would you say?" Upload to Google Drive or Loom and paste the link below.

Video Link (Loom, Google Drive, or YouTube unlisted)

Your video is seen only by Anurika during review. It is never shared publicly without your explicit consent.

Section 05

Bio & Photo (If accepted)

Used to introduce you in cohort materials and publications — always with your approval before anything goes out.

Short Bio (2–3 sentences, third person — optional at application stage)

You can update or write this after acceptance. We'll always send it to you for approval before use.

Headshot Photo Link (optional — you can send after acceptance)

📷

Upload your photo to Google Drive, Dropbox, or iCloud and paste the link below.
Set sharing to "Anyone with the link" before submitting.

Min 800×800px recommended. JPG or PNG. You can skip this now and send a photo after acceptance.

Section 06

Logistics & How You Found Us

Can you attend the mandatory onboarding session on July 3, 2026 from 6:00–8:30 PM? *

Yes — I can attend No — I cannot attend Unsure — I'll explain below

Please select an option for the onboarding session.

The onboarding session on July 3 is mandatory for all participants. If you cannot attend, please explain below — we will do our best to accommodate where possible.

Weekly sessions run every Thursday from 6:00–8:30 PM, July 10 – August 28 (8 sessions). How many can you commit to attending? *

All 8 sessions 7 of 8 — may miss one 6 of 8 — minimum threshold Fewer than 6 — I'll explain below

Please select your session availability.

The minimum completion threshold is 6 of 8 sessions. Participants who complete the cohort receive a certificate of completion. All sessions are at the Edmonton Public Library – Stanley A. Milner, 6:00–8:30 PM, with food and refreshments provided. Virtual attendance is fully supported for those outside Edmonton.

Are you available and willing to attend the retreat (September 2026) and public showcase (October 2026)? *

Yes — both Showcase only — retreat unsure Possibly — depends on dates Unlikely for one or both

Please select a retreat and showcase availability option.

Participants outside Edmonton: limited support for retreat and showcase travel may be available depending on program capacity and funding. In-person attendance at these events is encouraged but we understand circumstances vary.

Any notes about the retreat or showcase? (optional)

Are you available for the full cohort period (July–October 2026)? *

Yes, fully available Mostly — may miss 1–2 sessions I have significant schedule conflicts

Please select an availability option.

How did you hear about ECHOFORM? *

Instagram (@echoxform) LinkedIn Word of mouth (a friend or peer) A partner organization:

School / university Community centre or library Substack newsletter Google / web search Other:

Please select at least one option.

Anything else you'd like us to know? (optional)

Section 07

Consent & Agreement

By submitting this application, you confirm the following. Please read each statement carefully and check each box.

Age eligibility: I confirm that I am between 16 and 30 years old. If I am under 18, my parent or guardian will complete the Minor Consent Form. Accuracy: The information I have provided is truthful and accurate to the best of my knowledge. Community Agreement: I understand that if accepted, I will be asked to sign ECHOFORM's Community Agreement before my first session. Data use: I consent to ECHOFORM storing my application information securely for the 2026 cohort review. My data will not be shared with third parties without my consent. Communication: I consent to receiving emails from ECHOFORM related to my application status and, if accepted, the program.

Digital Signature (type your full name) *

Please enter your full name as a signature.

Date *

Please enter the date.