Community Arts Grant Panelist Form

Community Arts Grant Panelist Form

Grant panelists are an integral part of LARAC's Community Arts grant program. Panelists must live in Warren or Washington County. Panelist are responsible for reviewing grant applications and providing funding recommendations for the coming year's grant cycle. If you would like to become a panelist, please fill out the form below.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
I live in...*

Warren CountyWashington County
I am an...*

ArtistArt AdministratorEducatorExperienced in Grant Writing/ReviewingJust Interested in Being a Part of the Process
Please provide a brief explanation on why you feel you will be a valuable grant panelist.*
Should be Empty: