Grant Panelist Interest Form

Grant Panelist Interest Form

By serving as a grant panelist for the Indiana Arts Commission's Regional Initiative Grant Program, you're making a valuable contribution to the arts in our state! All grant applications are reviewed individually by citizen panelists like you – you have the chance to lend your voice and decide how state funds will be used in your community.
What you would be required to do as a panelist:
- Your expertise and advice for applicants
- Watching a 30-minute orientation webinar
- 8 - 15 hours of reading and scoring applications
- 1 - 2 hours hours of discussion on panel day
- Your advice to us about how to make programs more effective
What you get out of it:
- Being part of decision-making in state government
- Meeting your peers in Indiana who are also panelists
- Make new connections with artists, organizations, and colleagues
- Learn about clever ideas, innovative projects, and the folks making things happen
- Develop grant-making skills
- Many, many thanks from the TAF and the Indiana Arts Commission
Your Information

Note: Filling out this form does not guarantee you will serve on a panel. All submissions will be carefully considered by the program manager.
Your Name*

First NameLast Name
Title
Company / Organization
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you served as a grant panelist before?*

YesNo
What is your affiliation with or to the arts?*
E.g. volunteer for an organization, board member, patron, etc.
What is your artistic discipline area of expertise? (if applicable)*
Other Experience or Comments*
Demographic Information (optional)
Your answers to the following questions will only used for reporting to the Indiana Arts Commission and National Endowment for the Arts.
How would you best describe yourself:

American Indian / Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteMultiracialPrefer Not To SayOther
Are you of Hispanic/Latino/Spanish origin?

YesNoPrefer Not To Say
Which category below includes your age?

0 - 18 Years19 - 24 Years25 - 35 Years36 - 49 Years50 - 64 Years65+ YearsPrefer Not To Say
Should be Empty:

Grant Panelist Interest Form

Your Information