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SW MN Arts Council Panelist Application
Contact Information
Name
First Name
Last Name
Email
*
Verify Email
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone
Date
(mm/dd/yyyy)
I am interested in reviewing:
(check all that apply)
Grants for organizations
Grants for artists
Grants for schools and youth
Expertise
Please check the art disciplines that apply to you in terms of significant background, representation or expertise
Cultural Arts
Visual Arts
Theatre
Film/Video
Music
Literature/Writing
Dance
Community Organizer
Other
Expertise Explained
Please describe why you checked the above boxes.
Background
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?)
Interest
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?
Music
Literary Arts
Dance
Theatre
Equity, inclusion & diversity efforts
Cultural Arts
Other
Panelist Guidelines & Responsibilities
*
Have you read the guidelines and responsibilities for a panelist?
Yes
No
Do you agree to them?
*
Yes
No
SMAC Conflict of Interest Policy
*
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?
Yes
No
Do you agree to them?
*
Yes
No
Resume Upload
If you have a resume on file, please upload.
Signature
*
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
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