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Self Nomination Form - Grant Panel

Thanks for your interest in serving as a Panelist for the Pennsylvania Partners in the Arts Advisory Panel! Please take a moment to read over the Panelist Responsibilities before submitting the form below.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Organization/Company *

Title

Mobile phone number *

Email address *

Please select the dates for which you are available to participate in a day-long in-person panel meeting. (CTRL + CLICK to multi-select) *

Panelist Information

The Pennsylvania Council on the Arts asks that each PPA partner work to have panelists that are representative of our service areas. Therefore, to ensure diversity of opinion and background in our panels we ask the following voluntary questions.

Do you have experience in a particular artistic discipline?

If so, which one(s)?

County of residence

What is your gender?

What pronouns do you use?

What is your race? (CTRL + CLICK to multi-select)

Do you identify as Hispanic or Latino?

Have you ever served on a PPA Panel?

If so, which years did you serve on a panel?

Please specify year(s)

What is your interest in serving as a PPA panelist?

Do you have any questions or comments?

Nominate a Friend - Grant Panelist

Thanks for your interest in the Pennsylvania Partners in the Arts Program and nominating potential panelists. Please fill out the form below, and we will follow up with the nominee. We will contact you only if we have questions or are unable to contact your nominee.

Nominate an Emerging Leader

The Emerging Leaders Circle of the Cultural Cabinet is the next generation of leaders within the arts and cultural sector. This group comes from diverse backgrounds - nonprofit arts and culture, corporate, legal, and government - and will soon assume top-level positions in their respective industries.

Anyone can submit a nomination but we strongly encourage our Cultural Cabinet and Board members to nominate or sponsor an individual for Emerging Leaders Circle membership. Nominating an Emerging Leader is an excellent way to recognize and celebrate the work of young leaders. It is also a very effective way to begin cultivating leadership and champions for the cultural sector for whom we all share a passion.

If you wish to financially sponsor an Emerging Leader, please click here.

Nominee's contact information

First name *

Last name *

Title *

Organization/Company *

Street address

City

State

Zip code

County

Email address *

Daytime telephone number

Why are you nominating this individual for Emerging Leaders Circle membership? Please check all that apply *

He or she has an interest in arts and culture

He or she has proven to be a leader in his or her field of industry

He or she serves on the board of a cultural organization

He or she will be moving into a leadership position in the next 5 to 7 years

Other

Please provide a brief explanation for why you are nominating this individual

Your information

First name *

Last name *

Title *

Organization/Company *

Street address

City

State

Zip code

County

Email address *

Daytime telephone number *

Find a Job in the Arts

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Self Nomination Form - Grant Panel

Nominate a Friend - Grant Panelist

Nominate an Emerging Leader

Apply to be a worksite for 2017 Bloomberg Arts Internship Program-Philadelphia

Phillyfunperks - Perks Submission Form

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Search form

Find a Job in the Arts

Sign Up for Half-Priced Tickets

Find a Job in the Arts

Sign Up for Half-Priced Tickets

Find a Job in the Arts

Sign Up for Half-Priced Tickets

Search form

Self Nomination Form - Grant Panel

Nominate a Friend - Grant Panelist

Nominate an Emerging Leader

Apply to be a worksite for 2017 Bloomberg Arts Internship Program-Philadelphia

Phillyfunperks - Perks Submission Form

Pages