New Jersey State Council on the Arts Grant Panelist Interest Form

Serving as a grant review panelist offers a unique opportunity to learn more about the New Jersey State Council on the Arts’ grant application process. If you are interested in serving on a panel, please complete this form.

Information will not be shared with third parties.

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* 1. First Name:

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* 2. Last Name:

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* 3. Address (Street, City, State, Zip):

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* 4. Phone:

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* 5. Email:

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* 6. LinkedIn URL:

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* 7. Resume/CV

Please upload your resume/CV. Please follow this file name format "first_last_resume"

PDF, DOC, DOCX file types only.

Choose File

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* 8. Bio

Please upload your professional bio. Please follow this file name format "first_last_bio"

PDF, DOC, DOCX file types only.

Choose File

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* 9. What arts and culture work do you have experience with? (check all that apply)

practicing artist

arts education/lifelong learning

cultural practitioner

arts administrator

educator (college/university)

educator (primary/secondary)

museum/gallery

teaching artist

dance

music

opera & musical theater

theater

visual arts/craft

photography

media arts

literature

folk & traditional arts

public service at the county, state, or national level

philanthropy/grant funding

other

If you selected "practicing artist," please list your artistic discipline here.
If you selected "other," please describe here.

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* 10. Do you have a specialty? Please list below.
Examples include:
nonprofit best practices, finance, accessibility, program development, board of trustees best practices, community engagement, out-of-school education, Diversity Equity Access Inclusion, etc.

The next few questions address potential affiliations. An affiliation is defined as any connection/relation to an organization or individual with which the potential panelist is affiliated or related (e.g. board member, employee, spouse or family member of an employee, etc.) or with which there may be a perception of a conflict of interest.

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* 11. Do you have any current or past affiliations with any arts organizations in the state of New Jersey or, New Jersey organizations in general?

Yes

If yes, please list any current or past position(s)/relationship(s)

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* 12. Do you have any current or past affiliations with the New Jersey State Council on the Arts, the New Jersey Department of State, and/or the State of New Jersey (government)?

Yes

If yes, please list any current or past position(s)/relationship(s)

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* 13. Do you have any affiliations with artists in the state of New Jersey?

Yes

(if yes, describe/list below)

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* 14. Why are you interested in serving on a panel, and what personal/professional experience will you bring to the panel?

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* 15. Are there any dates or times between January 16 – May 30, 2024 in which you are not available?

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* 16. Are you able to accept a stipend for your work?

Yes

The following section requests demographic information. This information will be used for internal data and program review. Any data shared publicly will be in the aggregate only. While self-identification is optional, we highly encourage you to self-identify your demographic information. Thank you for helping us to reach our goal of making the programs and services we offer inclusive of all people. Please note that you have the option to select "I choose not to answer."

Information will not be shared with third parties.

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* 17. Please select the racial/ethnic identifiers that are applicable to you.

American Native/Alaskan Native

Asian/Asian American

Black/African American

Hawaiian/Pacific Islander

Latinx/Hispanic

Middle Eastern/North African

Other non-white racial/ethnic identity

White

Multi-racial

I choose not to answer

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* 18. Please select the gender identity that is applicable to you.

Cisgender woman

Cisgender man

Transgender woman

Transgender man

Non-binary/Gender non-conforming

Another gender identity not listed here

I choose not to answer

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* 19. Please select the age descriptor that is applicable to you.

I am age 65 or over.

I am under the age of 65.

I choose not to answer.

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* 20. Please check the disability descriptor that is applicable to you.

I am a disabled person/person with a disability.

I am not a disabled person/person with a disability.

I choose not to answer.

Thank you for taking the time to complete this form. Should you align with upcoming panel needs, the Arts Council will be in touch to inform you about the next steps, including registration for the State of New Jersey Affirmative Action Certification.

To submit your form, please click on the "Done" box at the bottom of the form.

New Jersey State Council on the Arts Grant Panelist Interest Form

Question Title

* 1. First Name:

Question Title

* 2. Last Name:

Question Title

* 3. Address (Street, City, State, Zip):

Question Title

* 4. Phone:

Question Title

* 5. Email:

Question Title

* 6. LinkedIn URL:

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* 7. Resume/CV

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* 8. Bio

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* 9. What arts and culture work do you have experience with? (check all that apply)

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* 10. Do you have a specialty? Please list below. Examples include: nonprofit best practices, finance, accessibility, program development, board of trustees best practices, community engagement, out-of-school education, Diversity Equity Access Inclusion, etc.

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* 11. Do you have any current or past affiliations with any arts organizations in the state of New Jersey or, New Jersey organizations in general?

Question Title

* 12. Do you have any current or past affiliations with the New Jersey State Council on the Arts, the New Jersey Department of State, and/or the State of New Jersey (government)?

Question Title

* 13. Do you have any affiliations with artists in the state of New Jersey?

Question Title

* 14. Why are you interested in serving on a panel, and what personal/professional experience will you bring to the panel?

Question Title

* 15. Are there any dates or times between January 16 – May 30, 2024 in which you are not available?

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* 16. Are you able to accept a stipend for your work?

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* 17. Please select the racial/ethnic identifiers that are applicable to you.

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* 18. Please select the gender identity that is applicable to you.

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* 19. Please select the age descriptor that is applicable to you.

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* 20. Please check the disability descriptor that is applicable to you.

* 10. Do you have a specialty? Please list below.
Examples include:
nonprofit best practices, finance, accessibility, program development, board of trustees best practices, community engagement, out-of-school education, Diversity Equity Access Inclusion, etc.