Florida Division of Arts & Culture: Panelist Registration/Nomination Form
Thank you for your interest in serving as a Panelist or for nominating someone else. Please feel free to direct questions to the Division at 850.245.6470.
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Panel meetings are at the heart of the Division's grant process, and we are deeply appreciative of our panelists. Each panelist is required to attend panelist training. Reading and scoring takes place prior to each panel meeting. Panelists are chosen for their knowledge and expertise and agree to lend their time to ensure the integrity of the panel process.

Are you nominating/providing information about yourself, or someone else?
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Have you or the person you are nominating/providing information for ever previously served on a Florida Division of Arts & Culture panel?
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Were you directed by someone from Division staff to complete this form? If yes, tell us the person's name.
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If you are nominating/providing information about yourself, skip to the next question. If you are nominating/providing information for someone else please provide your name, email address, and your association with the person you are nominating so that we may contact you if we have any questions.
Nominee's First Name
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Nominee's Last Name
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Nominee's Organization or current employer
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Indicate the County in which the nominee resides. If nominee does not reside in Florida, please select "Other" and provide state of residence in field provided.
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Email of nominee -- This email address should be the email the nominee is most likely to respond to. This is the email where the nominee will receive panel information, documents, and calendar reminders.
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Phone number of nominee -- This phone number should be the main number that the nominee can be reached during business hours.
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Cell number of nominee -- This phone number should be the best number where a member of staff can call or text the nominee on the day of the panel meeting.
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