Grant Panelist Interest Form
Name
First Name
Last Name
Email
example@example.com
County in which you live and work
Race/Ethnicity: I identify as (select all that apply)
*
Asian
Black or African American
Hispanic/Latino(a)(x)
Indigenous (e.g., Native American, Pacific Islander)
Middle Eastern or Arab
White (non-Hispanic)
Prefer not to answer
Other
Gender Identity: I identify as (select all that apply)
*
Female
Male
Nonbinary
Prefer not to answer
Other
Are you a person with a disability? (optional)
Yes
No
Expertise: please select all that apply.
*
Artist
Arts Management
Visual Art
Photography
Film
Literature
Media Arts
Theatre
Musical Theatre
Opera
Music
Dance
Community Engagement
Accessibility for People with Disabilities
Museum
Outreach/marketing
Years of Experience
*
Back
Next
Can you commit to six days of meetings over 10 weeks?
*
Yes
No
Can you commit to one full day panel meeting?
*
Yes
No
Can you review grant applications through an online grant platform?
*
Yes
No
Why would you like to be a panelist?
*
How did you hear about the Greater Pittsburgh Arts Council?
*
Additional Comments (optional)
Submit
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