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Michigan Arts and Culture Council
Panelist Nomination Form
Panelist Nomination Form
Recommendations for panelists come from the Council, clients, colleagues from other state arts councils, the public and staff. Recommendations are reviewed and approved by the Council Chairman with the advice of the full Council as needed.
Panelist Nomination Form
Name
Address
City
State
Zip Code
Email Address
Phone
Disciplinary Expertise
Chamber
Choral/Vocal
Humanitites
Jazz/Blues
Media Arts
Multidisciplinary
Orchestra/Band
Photography
Traditional Arts
Literature
Dance
Visual Arts
Opera/Musical Theater
Theater
None of the above (list appropriate discipline)
Have you previously served as a Peer Review Panelist?
Yes
No
Which Organization?
Which Year?
Experience (check the appropriate answer(s))
Advertising / Marketing / Promotion
Arts Administration
Arts Education
Arts/Cultural Research
Arts & Humanities
Arts & Technology
Arts or Cultural Fair / Festival Management
Capital Improvements / Facilities Construction
Collaborative Programs / Partnerships
Community-Based Program Development
Curriculum
Development Publishing
Local Arts Organization Development
Programs for Persons with Disabilities
Science
Touring / Presenting
Youth Programs
Zoological Programs
For required reporting purposes only, MCACA requests that perspective panelists select the appropriate ethnicity.
-- Select an option --
No Response
Native American / Alaskan Native
Black, not Hispanic
White, not Hispanic
Asian/Pacific Islander
Hispanic
Multi-Racial
In the space provided, submit a brief biography (include formal and informal education as appropriate, as well as pertinent experience).
Submit