Louisville Metro Government strives to align with national best practices with regard to competitive grant-making to arts and culture organizations. This includes convening a diverse panel of external reviewers and subject matter experts. In this context, diversity refers to artistic and cultural viewpoints, gender, race, ethnicity, geographic location, and professional experience. 

Panels are composed of qualified arts/culture professionals and knowledgable laypersons who are unaffiliated with applicant organizations.

The information requested below is only used for statistical purposes and to ensure diversity of the panel. Information will not be shared with any third parties. Registering interest to serve as a reviewer does not guarantee a respondent will be asked to serve in this capacity.
BASIC INFORMATION

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* 1. First Name

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* 2. Last Name

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* 3. Phone

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* 4. Email

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* 5. Occupation (include title and organization, as appropriate)

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* 6. Home: City, State

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* 7. Are you a layperson?

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* 8. Are you a current or former employee of Louisville Metro Government?

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* 9. To the best of your knowledge, are you affiliated with any applicants for funding through Louisville Metro Governments grant-making programs administered by the Office of Arts + Creative Industries?

Answering any of the following four questions is optional. If you fill out this section, please complete both the ethnicity and race questions. If you are of mixed race, you may check more than one box.

Ethnicity:
Hispanic or Latina/o: A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.

Race:
-American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and maintaining tribal affiliation or community.

-Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

-Black or African American: A person having origins in any of the Black racial groups of Africa.

-Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

-White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
RESPONDENT CHARACTERISTICS

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* 10. Which of the following best describes your race? (Select all that apply)

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* 11. Which of the following describes your ethnicity? (select one)

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* 12. Gender (Select all that apply)

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* 13. Select any applicable disability category(ies)

ARTS and/or CULTURE EXPERIENCE

Please provide details regarding your primary experience in arts and culture.

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* 14. Primary Field of Experience

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* 15. What is your primary role in arts and culture

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* 16. Please identify any types of organizations where you have had professional experience (select up to 6)

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