New VCA Advisory Panelist Nomination Form

Advisory Panelist Nomination Form
Please use this form to nominate an individual (self-nominations welcome) to serve as a VCA Advisory Panelist. The quality and integrity of the Commission’s decision-making depend upon the individual contributions of time, thought, and energy of these volunteers.
Nominee Name*
Nominee's Preferred Pronouns
Nominee Organization and Title*
Nominee City*
Nominee County*
Nominee Email*
Nominee Phone Number*
Please enter a valid phone number.
Please select your arts and culture experience in the list below. Check all that apply.*

Arts administratorArts educationArts in healthCommunity engagementCreative agingCultural practionerDanceEducator (college/university)Educator (primary/secondary)Fundraising & developmentFolk & Traditional ArtsJustice-impacted individualsLiteratureMedia ArtsMuseum/galleryMusicNonprofit administrationNonprofit financeOpera & musical theaterPhotographyPracticing ArtistPublic service at the county, state, or national levelTeaching ArtistTheaterVisual arts/craftsOther
If 'other' or 'practicing artist' was selected above, please list the discipline below.
Please provide a brief description of the nominee's experience in the arts*
Select the preferred Advisory Panel(s)*

General Operating Support for Medium and Large Organizations (Spring)Community Impact Grant (Spring)Touring Artist Roster (Late Summer)Teaching Artist Roster (Late Summer)No preference
Are there any dates between April and June 2025 in which you are not available for a one-day virtual Screening Session? *
Please indicate if you have any accessibility needs.
Please select the ethnic identifiers applicable to the nominee.
Nominator Name (if different from Nominee)
Nominator E-mail (if different from Nominee)
Should be Empty: