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

PDF, DOC, DOCX file types only.
Choose File

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* 8. Bio

PDF, DOC, DOCX file types only.
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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 governance best practices, community engagement, out-of-school education, library administration, 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?

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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)?

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

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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 – June 2025 in which you are not available?

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

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.

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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.

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.

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