Survey - ASiO - 2022 Poetry Contest

ASiO - 2022 Poetry Contest

The written word is how you can express your feelings and experiences in a way others can understand.

Whether you consider yourself a poet or are writing for the first time, we encourage you to submit your poetry about your experience with Alzheimer's disease and other dementias, being a care partner, and more.

Please provide your information:

Field Is Required First Name

Field Is Required Last Name

Field Is Required Postal / ZIP Code:

Field Is Required Email:

Yes, I would like to receive email communications from Alzheimer Society of Ontario.

Please select one of the following:

I am a person living with dementia
I am a care partner
I am a friend or family member of someone living with dementia
I am a Social Worker, PSW
I am a Frontline worker or Health care professional
Other

Field Is Required Insert name of Poem here: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required Insert Poem here:

Can you please provide some brief background and/or explain the inspiration behind your poem? (Maximum response 255 chars, approx. 5 rows of text)

RULES & ELIGIBILITY

Submission is open to anyone age thirteen and up. Those under 18 must receive parental/guardian consent upon submitting their entry.
Any entries that contain profanity, derogatory, racist, or homophobic language will be exempt from being shared.
Poems must be 300 words or less.

PUBLICATION & COPYRIGHT

Participants whose poems are selected will be given the opportunity to have their poems featured on the Alzheimer Society's website, newsletter and social media.
By submitting a poem, you accept that your poem will be utilized in any future marketing materials, in full or part, including but not limited to online, print, etc. We reserve the right to not publish a poem for any reason. All individual poetry remains the property of the author.