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SW MN Arts Council Panelist Application
Contact Information

First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code


(mm/dd/yyyy)
Check as many as you are interested in:
Please check the art disciplines that apply to you in terms of significant background, representation or expertise

Please describe why you checked the above boxes.

What other background makes you a strong candidate for a position as a panel member? (For example, other volunteer positions, applicable work and educational experience, board positions, or underserved communities you have strong connections with?)

Why are you interested in a SMAC panel position?
What arts activities have you attended (A), supported (S), or participated (P) in the last year?







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Have you read the guidelines and responsibilities for a panelist?
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All panelists are required to read and agree to the terms of our conflict of interest policies. Have you read SMAC's Conflict of Interest Policy?
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If you have a resume on file, please upload.
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Please enter/type your name to signify that you have read and agree to both of these items: 1. The guidelines and responsibilities of being a SMAC panelist 2. SMAC's Conflict of Interest Policy