FY2021 Application for 2 Year Term ending June 30, 2022

Note that completing an application does not guarantee a seat on an Advisory Council.

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* 1. Advisory Council (check one):

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* 2. First Name

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* 3. Last Name

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* 4. Daytime phone

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* 5. Home Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Email

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* 10. Who are you representing?
If known, please specifically and accurately confirm, referencing parenthetical list from Question 1 (ex: Pineville, City of Charlotte District 3, Mecklenburg County District 2, CMS District 1). If unsure, this question may be left blank. If you need help locating your County, City, or School Board district, those can be found using this link.

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* 11. I understand that the responsibilities of being an ASC Advisory Council member include regular attendance of three to four meetings annually, actively participating in those meetings, and responding to communications from ASC throughout my term. If my appointing governing body has additional attendance standards+, I will meet them. I recognize that the appointment is for 2 years ending June 30, 2022, and am willing to serve.
+For example, Mecklenburg County requires that appointees attend a minimum of 65% of Advisory Council meetings.

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* 12. I understand that ASC Advisory Council members are expected to actively advocate for the cultural sector, to serve as ambassadors connecting the community with ASC, and to maintain a strong standard of participation and collaboration both in and out of Council meetings.

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* 13. Describe previous or current board, community or volunteer involvement, including service on other arts, science, history or heritage organization boards:

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* 14. Please describe why you would make a strong contribution to the work of this Advisory Council. What motivates you to serve the cultural community?

ASC is committed to Advisory Councils that reflect the demographics and diversity of the community we serve. It is with that intention that we ask the following questions.

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* 15. Please indicate your race/ethnicity.

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* 16. Please indicate your age.

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* 17. Please indicate your gender.

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* 18. Are you a member of any of the following communities?

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