CultureMAX 2018 Statement of Support for Nominee

Please complete the form below.  Please make sure that your candidate for whom you are writing a statement of support has been formally nominated (contact the NW CT Arts Council at info@artsnwct.or or 860-618-0075, if needed).

There are 6 categories of awardees.  Any artist, arts educator, heritage worker, cultural organization, a small or large business, or volunteer that currently resides (for individuals) or is located (for non-individuals) in one of the 25-towns served by the Northwest Connecticut Arts Council may be nominated. The Arts Council serves Barkhamsted, Bethlehem, Burlington, Colebrook, Cornwall, Falls Village/Canaan, Goshen, Hartland, Harwinton, Kent, Litchfield, Morris, New Hartford, New Milford, Norfolk, North Canaan, Plymouth, Roxbury, Salisbury/Lakeville, Sharon, Thomaston, Torrington, Warren, Washington, and Winchester/Winsted.

* 1. What is your First and Last Name?

* 2. What is your email address?

* 3. What is your phone number?

* 4. Provide the full name of the individual or the name of the organization/business for whom you are writing this statement of support? 

* 5. Is the Statement of Support for an individual or an organization/business?