SurveyMonkey Powered Online Survey

We appreciate your interest in serving your creative community. Please complete the following questions to be considered as a committee or panel member for the Art in Public Places or Cultural Service Grants programs.

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Which program are you interested in serving?

Art in Public Places

Cultural Service Grants

Either

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* 3. Are you willing to submit a resume for review?

Yes

No

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* 4. Do you reside in Duval County?

Yes

No

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* 5. Do you currently serve on any other committees, panels, or boards? If yes, please list.

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* 6. Why would you like to serve on a committee or panel?