Maryland Heritage Areas Program (MHAP) Grants Review Panelist Application / Nomination Form
MHAP is currently accepting applications and nominations for the FY 2021 grants review cycle, for which grants review will occur in Spring and Summer of 2020. Please complete the form below to apply to serve or nominate a colleague to serve as a grants review panelist. As a part of this form you will be asked about your (or the nominee’s) experience in fields related to MHAP’s grant program. You will also be asked about your (or the nominee’s) demographic information.

Please complete this form by November 22, 2019 in order to be considered for the FY 2021 MHAP grants panelist selection.
Applicant / Nominee Information
Applicant / Nominee name: *
Your answer
Applicant / Nominee phone number(s): *
Your answer
Applicant / Nominee email address: *
Your answer
Applicant / Nominee occupation: (include title and organization, as appropriate) *
Your answer
Geographic association 1: Where does the applicant / nominee live? (e.g. Oakland, MD or Salisbury, MD) *
Your answer
Geographic association 2: Where does the applicant / nominee work? (if applicable)
Your answer
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