Serve as an IAC Region 9 Grant Panelist!
Thank you for your interest in serving as a panelist for Indiana Arts Commission grants.

Panelists will review Arts Project Support applications for Region 9: Bartholomew, Dearborn, Decatur, Franklin, Jackson, Jennings, Ohio, Ripley and Switzerland counties. Before making a submission, please review the details of the panel process to help you consider the commitment.

We seek a diversity of representation to foster greater dialogue, awareness and understanding while representing the many perspectives that make up our state and region.

Submitting this form does not guarantee you will serve on a panel. All submissions will be carefully considered by CAAC staff, who may contact you for more information about your expertise.

Nominations are welcome: If you know someone else who you think would be a great panelist and would like to nominate them, please use this form to submit their information.

For more information about IAC Region 9, visit www.artsincolumbus.org/iac-grants.
Sign in to Google to save your progress. Learn more
Email *
Panelist Information
If nominating someone else, include their information here. You can add your name as nominator at the end.
First Name *
Last Name *
Current Position (title)
Current Organization (employer)
Street Address
City, State, ZIP *
Phone Number *
Email Address *
Your Experience and Perspective
We seek a diversity of representation to foster greater dialogue, awareness, and understanding while representing the many perspectives that make up our state.
Which IAC programs have you paneled in the past? Select all that apply. *
Required
Professional Experience (select all that apply) *
Required
Arts discipline/area of expertise (select all that apply) *
Required
Is there anything else you'd like to share about your experience or the unique perspective you bring to the panel?
Nominator Information
If you nominated someone above, include your own information here. Otherwise, click "Submit" below!
Your Name – Nominator
Your Email – Nominator
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy