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Grant Panelist Application

I would like to serve as an advisory panelist this year.
I can't serve as an advisory panelist this year, but keep my information on file for next year.

Mr. Ms. Mrs. Dr. Other:

 

(No P.O. Box)
:
Gender: Female Male
Age: Under Age 55 Age 55 and above

Individual Characteristics: Check those that best describe you. This information is optional:

American Indian/Alaskan Native
Asian/Pacific Islander
Black/African-American
Hispanic Descent/Origin
White/Caucasian
Disability
Multiracial

Section 2:

Check the discipline(s) and the specific genre or area of expertise in which you have worked at least two years. You may select a maximum of three specific genres or areas of expertise.

Craft
Clay
Fiber
Glass
Leather
Metal
Paper
Wood
Mixed Media

Music
Performance
Composition

Dance
Classical
Modern
Jazz
Ethnic
Performance
Choreography
Multi-Arts Projects involving over one discipline
List Disciplines:


Design
Architecture
Landscape Architecture
Fashion
Graphic
Interior industrial
Interior urban design

Photography
Media
Folk Arts
Traditional art forms evolved through: Shared Heritage
Language
Occupation
Religion
Geographic Area

Literature
Creative Writing
Poetry
Novels
Short Stories
Essays
Literary Critics

Visual Arts
Drawing
Painting
Printmaking
Sculpture
Mixed Media
2-D Installations
3-D Installations
Experimental

Theatre
Playwriting
Drama Development
Theatre Artists' Support
Theatre Production

Media Arts
Film
Video
Television
Screenplays
Radio Scripts

Provide a brief synopsis of your experience in the selected discipline(s) in 50 words or less:

Additional Experience (Check all that apply):
Artist
Arts Educator
Community Development
Fund Raising
Budget/Financial Management
Organization Development
Needs Assessment
Program Planning/Evaluation
Nonprofit/Public Agency Admin/Management
Nonprofit/ Public Agency Governing
Other:

Section 3:

Please submit a copy of your resume to Bobbie Garver at bgarver@iac.in.gov.