CNY Arts Panelist Nomination
CNY Arts appoints panelists to perform evaluation and rating of funding applications made to the council. All panelists must be residents or work in Cortland, Herkimer, Madison, Oneida, Onondaga, or Oswego counties. To nominate a person or yourself for panel service, please complete the following form.

Please note panelists most rotate off after 3 consecutive terms.

If you served a term in 2015 or 2016, you do not need to nominate yourself. Thank you!

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Contact Information
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Daytime Phone Number
Please include area code.
Your answer
Evening Phone Number
Please include area code.
Your answer
Panel Information
Occupation
Your answer
Employer:
Your answer
County of Residence
County of Employment (if different)
Have you served on a funding panel before?
Discipline Expertise
Check all the following that apply to your background.
Required
General Availability (day)
Please check all that apply.
Required
General Availability (time)
Panels will generally meet on weekdays. Please check all that apply.
Required
Do you own a laptop or tablet device?
Please provide a brief biography CNY Arts can use in materials.
If selected as a panelist, this bio will be used on panel materials and sent to the CNY Arts Board of Directors, or CNY Arts funders, as applicable.
Your answer
Nominated by
If individual is nominated, please provide your first and last name, as well as an email and phone number to be reached.
Your answer
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