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Nominate an Adjudicator



I / We would like to suggest the following person as a Juror / Advisor:

* denotes required field

*  First Name:
*  Last Name:
Middle Initial(s):
* Primary Contact Information: Home: Work:
Home Address
Mailing Address:
* City:
* Province / Territory:
Postal Code:
* Phone:
Fax:
Email:
Street Address:
(if different from above)
Work Address
Organization:
Position:
Mailing Address:
* City:
* Province / Territory:
Postal Code:
* Phone:
Fax:
Email:
Street Address:
(if different from above)
* Area(s) Of Expertise
Community Arts Crafts Dance
Integrated Arts Literature Media Arts
Museology Music Theatre
Visual Arts Administration Other
If possible, please specify the area of expertise:
Briefly describe the individual's artistic practice or area of expertise. Why do you feel this individual would be a good adjudicator? (up to 1500 characters):
Jury / Committee Experience
Does the nominee have any previous experience in the jury/ advisory committee process:
Yes: No: Don't Know:
If yes, for whom? Please specify the title of the jury / committee:
Canada Council for the Arts
specify:
BC Arts Council
specify:
Other
specify:
If available, please copy resume/CV into the form below:
Recommender
* If this is a self nomination?: Yes: No:
If so please provide contact information for one individual who is familiar with your work. You must confirm their willingness to serve as your recommender and for consent to use their personal information.
* First Name:
* Last Name:
Middle Initial(s):
Primary Address: Home: Work:
Mailing Address:
* City:
* Province / Territory:
Postal Code:
* Home Phone:
OR
* Work Phone:
Email Address:
Organization:
Position:
* Validation
(this helps us prevent automated programs from sending spam)
Type the text shown in the image *      
The personal information collected on this form is collected under the authority of the BC Arts Council, Arts Council Act, s. 4 and is subject to the provisions of the Freedom of Information and Protection of Privacy Act. The personal information will be used to assess suitability of the candidate for appointment to a jury or advisory committee and subsequently the contact information is used to communicate with the appointees and acquire their consent to sit on a specific jury or committee. For more information regarding this form please contact:
The BC Arts Council
PO Box 9819, Stn Prov Govt,
Victoria, BC
V8W 9W3
(250) 356-1718.
I hereby certify that the above information is correct to the best of my knowledge and that both the Recommended Individual and the Recommender have consented to the use of the above information by the BC Arts Council.
By sending this as an electronic copy it constitutes as your signature.