Anti-Racism Challenge Form - Immigrant and Refugee Services Association PEI

PEIANC Anti-Racism Challenge 2021: Entry Form

If your entry is accessible online, enter the URL in the form below when prompted. If your entry is not accessible online, please store it on a USB drive, CD or DVD (if in digital format) and drop it off in person or mail it to PEIANC office. Neatly hand-written text (poetry or prose) and hand-made posters are also accepted, and should be either mailed or delivered in person.

NOTE: If you are mailing or delivering your entry in person (hand-written, hand-made or stored on an off-line digital medium), please mark the envelope, not your submission, with your name and your entry title, and either fill in and submit the online form below, or print and neatly fill in the printable entry form and include it with your entry. This is to ensure unbiased blind judging. Do not include your name on your actual submission - if you write your name on your written text, poster, or video, your entry will be disqualified.

Challenge Rules

Challenge Entry Form

All fields marked with * are required.

Student Information

First Name
Last Name
Parent or guardian
Email
Home Phone Number
Alternate Phone Number
Address
Age
Grade

School, Youth Organization, or Home-School Information

School or organization
Teacher/parent/mentor if applicable

Entry Information

You are encouraged to submit your entry online using a free service, such as Dropbox. If your submission is online, please provide the link.

Please select the category(ies) in which you would like to participate

	Text	Title URL
	Poster	Title URL
	Video	Title URL

Comments

Certification Statement

By submitting this form I certify that the work I am entering into this contest is my original unpublished work.

Are you a real person? (no robots please)

Please answer the following question:
What's 5 added to 3?
Your answer

PEIANC Anti-Racism Challenge 2021: Entry Form

Challenge Entry Form

With Support From

Program Staff

Contact Information