2018 Queens Arts Fund Panelist Nomination Form
Contact Information
First Name
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Last Name
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Email
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Phone Number (Primary)
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Address (residence)
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City, State, Zip Code
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Occupation
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Please provide a paragraph or two on why you would like to serve as a Queens Arts Fund Panelist.
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Have you served on a funding panel before?
Please indicate the disciplines that best correspond with your experience.
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