Panelist Nomination Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in serving as a panelist for the Utah Division of Arts & Museums grants program. Please review the "panelist packet" on our website for a full description of panelist responsibilities. Panelists are offered an honorarium of $100. We work hard to ensure that panelists read a limited number of applications per panel. If you have any questions that are not answered in the packet, please contact us: uamgrants@utah.gov

Full Name *

County *

Organization or Company Name

Title

Preferred Phone Number *

Email *

Please indicate which panel(s) you would be interested in: *

Large Arts Organizations

Small Arts Organizations

Large Museums

Small Museums

A&M Project Grant (Project grants that engage the community)

OnStage in Utah (Funding for presenting performing artists)

Any Panel

Required

In which artistic discipline/professional field do you have expertise? (Choose all that apply.) *

Art Administration

Art Education

Community Arts

Dance

Folk Arts

Literature

Media Arts

Multidisciplinary

Museums

Music

Performance Art

Theater

Visual Art

Other:

Required

Select the number of years of professional experience in the arts or museum field (can include volunteering) *

Less than 5

5-10

10-15

15+

Have you ever served on a Utah Division of Arts & Museums grant panel? *

Yes

Please briefly describe your qualifications for service as a panel member (professional, educational and/or volunteer experience). *

Do you have any questions or comments for the grants team?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of State of Utah. Report Abuse

Forms