Panelist Nomination Form
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 $200. 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
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Full Name *
County *
Organization or Company Name
Title
Preferred Phone Number *
Email *

Please indicate which panel(s) you would be interested in. You can learn more about each grant here:

 *
Required
In which artistic discipline/professional field do you have expertise? (Choose all that apply.) *
Required
Select the number of years of professional experience in the arts or museum field (can include volunteering) *
Have you ever served on a Utah Division of Arts & Museums grant panel? *
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
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