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Funders
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Donate
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Program Advisor Interest Survey
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If you are interested in serving as an advisor/panelist, complete this panelist interest survey. We cannot guarantee placement. We know there are more qualified potential advisor/panelists than opportunities. We will carefully consider everyone that completes a survey.
Name
First Name
Last Name
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Preferred Name, If Different from Name Above
Pronouns
Email Address
If email is not your preferred contact method, please provide additional contact information below.
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Phone
Address
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State
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Texas
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Washington
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Wisconsin
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ZIP/Postal Code
Country
- None -
Afghanistan
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Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
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Ceuta & Melilla
Chad
Chile
China
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Colombia
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Congo - Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d’Ivoire
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
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Guyana
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Israel
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Madagascar
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Title
Organization Affiliation
Organization Affiliation, (if applicable)
While it is not required, listing a work affiliated website, as well as an artistic or personal/business website helps us better understand your experience or area of expertise.
Work Affiliated Website:
Personal Website:
In what city or region are you currently based?
Area(s) of Interest
National Dance Project
National Theater Project
New England Creative Economy
New England States Touring
Public Art
Within the last two years have you served on other grantmaking panels or do you anticipate serving on any in the next year? If yes and does not violate any confidentiality agreements, please list program(s)/organization(s) and year(s) served (up to 3).
Yes
No
Program
Organization
Year Served
Year Served: Year
Year
1900
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Program
Organization
Year Served
Year Served: Year
Year
1900
1901
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1907
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1911
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2039
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2049
2050
Program
Organization
Year Served
Year Served: Year
Year
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
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Please help us learn more about you, by uploading a resume or filling out the bio field, below.
Resume
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Bio:
What forms of art are you most comfortable speaking about? In what specific areas do you have the most knowledge?
Describe:
What other insights or experiences do you, as an individual, bring to a conversation?
Describe:
Do you have community engagement/building experience?
Describe:
How do you describe your race and ethnic identity?
Asian/Asian American
Black/African/African American
Hispanic/Latino/a/x
Middle Eastern/North African
Native American/American Indian/Alaska Native/Native Hawaiian
Pacific Islander
White (not Hispanic or Latino/a/x)
My race or ethnicity is not listed
Decline to respond
Do you describe your ethnic, racial, or cultural identity in any other way? If yes, please describe.
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