Panelist Profile Form

National Endowment for the Arts

Panelist Profile Form Instructions

National Endowment for the Arts

Panelist Profile Form

Instructions

Arts Endowment panelists’ advice plays a central role in reviewing applications for funding and in discussing policy issues about the needs of the arts.

We rely on panels composed of individuals who represent a broad range of artistic and cultural viewpoints and wide geographic and ethnic diversity. To help us identify and select qualified panelists, we have developed a database in which we maintain information about individuals’ expertise and experience in the arts.

Our panels are composed of both arts experts and knowledgeable laypersons.

Most panelists are arts experts – persons who are qualified by their training, skills, or experience in one or more art forms. Our panels are enhanced by the service of laypersons who are knowledgeable about the arts but who are not engaged in the arts as a profession.

If you are interested in becoming a panelist, please complete and return the Panelist Profile Form so that we will have accurate information about your qualifications.

Resumé

Since the information provided on the Panelist Profile Form is a simplified description of your background and qualifications, we ask that you also send us a one or two page current resumé which describes your arts experiences and the knowledge and abilities you could contribute to the evaluation of Arts Endowment grant applications and policy discussions. Please identify your most significant and relevant performances; films; exhibitions; artworks; books, articles, or other published writings; honors, awards or other recognitions; board or other memberships; whether you have a professional license (if applicable in your field); and any relevant international art activities.

How to Complete the Form…

If you have received the material in electronic form, complete the form and return it to us by email with your resumé. If you have the form in hard copy, please type or print legibly and mark all appropriate check boxes. Send the form to us along with your resumé. Please read the notes and instructions below before you complete the form.

Preferred Address

Please include a mailing address (e.g., your work address) on the form. We track our panelists by home city and state, so if your mailing address is NOT your home address please include that as well, and fill in the appropriate checkboxes.

Arts Expert or Layperson?

-- Consider yourself an arts expert if you work in the public, private, or nonprofit sector with job responsibilities in the arts or in cultural planning or funding. You may be an artist, arts administrator, artistic director, arts scholar, foundation staff member administering arts-related programs, cultural arts advisor, arts educator, or a staff member of a state, local or regional arts organization or arts consortium, among others.

-- Consider yourself a layperson if you are knowledgeable about the arts but are not engaged in the arts as a profession. Your expertise may be demonstrated through recognition of your arts knowledge by arts professionals, your leadership in the arts, your involvement in the arts through significant volunteerism, or your demonstrated expertise in artistic genres or arts-related fields.

Special Characteristics

The Arts Endowment’s enabling legislation requires us to convene panels that are ethnically diverse, so we must ask for information that allows us to comply with the statute. The classifications are prescribed by the Federal Government’s Office of Management and Budget for Federal reporting and statistical activities. They do not determine eligibility for participation on Arts Endowment panels. Identification of gender and disabilities is voluntary.

The categories are designed to identify your basic racial and national origin. If you are of mixed racial and/or national origin, you may check more than one box. You should choose the category(ies) with which you most closely identify yourself, as described:

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and maintaining tribal affiliation or community.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Foreign Languages

Please list any non-English language(s) in which you are fluent.

Source of Recommendation

If you are filling out the Profile Form on behalf of someone else, please list your name, title and organization here. If you are completing the form at someone else’s request, please include that person’s name, title, and organization. If you are sending in the form on your own initiative, please write in SELF.

Arts Expertise

In this section you will describe the skills, experience, and/or training in the arts that you can contribute to a panel. On pages 7-12 there is a List of Codes for a variety of arts fields, roles, and areas of specialization. Select the appropriate code numbers and write them in the boxes on the Profile Form (one digit per box). Please select the codes that most closely approximate your areas of expertise. Shown below is an example of this section completed.

Primary Arts Expertise: From the List of Codes choose the art field (2-digit code) and one role/function (3-digit code) and one specialization/activity (3-digit code) that represent your primary expertise in the arts.

You are not limited to only those codes listed under one discipline or field. If you do not find an appropriate role/function or specialization/activity listed under your field category, please check the lists within other fields. If you find an appropriate category in another field, you may use that code. Write the corresponding code numbers in the boxes provided next to “Primary Arts Expertise.”

Other Arts Expertise: Use this section to describe additional qualifications or areas of arts expertise, if appropriate. You may include more than one role/function or specialization/activity within the same art field or include more than one art field, role/function, and specialization/activity.

EXAMPLE:

If you are a museum volunteer with extensive knowledge of Southeast Asian art, and you also volunteer at a presenting organization but you have no specialized arts presenting knowledge, you would complete the Arts Expertise section as shown here:

Arts Expertise

See List of Codes for appropriate numbers.

Field Role Specialization

Primary Arts Expertise		6	0		5	1	0		7	2	5
Other Arts Expertise		1	0		5	1	0		    	    	    

Type of Organization

Select UP TO FIVE types of organizations with which you have had arts experience. These selections may represent both your primary and other arts experience.

EXAMPLE

If you are a member of an orchestra, are on the board of a local arts agency, and contribute articles to your local newspaper, you would complete this section as follows:

___________________________

Type of Organization

Select up to five:

Arts/Cultural Organizations Funding Organizations

performing arts (dance, folk arts, public

music, opera, musical theater, theater) private

non-performing arts (design, folk arts corporate

literature, media, museums, visual arts)

arts service organization Media/Journalism

regional arts organization commercial film/radio/television

state arts agency public broadcasting

local arts agency independent production company

artists’ communities/live work spaces newspaper

other trade publications

scholarly journal

Please send the completed form and your resume to:

National Endowment for the Arts

Office of Panel Operations

Nancy Hanks Center

1100 Pennsylvania Avenue, NW

Washington, DC 20506-0001

Reporting Burden

The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The Arts Endowment welcomes any suggestions that you might have on improving the panelist profile form and making it as easy to use as possible. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of Guidelines & Panel Operations, Room 620, National Endowment for the Arts, Nancy Hanks Center, 1100 Pennsylvania Avenue, NW, Washington, DC 20506-0001. Note; Applicants are not required to respond to the collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number.

OMB No. 3135-0098 Exp. 8/31/2009

Privacy Act

The following notice is furnished in accordance with the Privacy Act of 1974,

5 U.S.C. 552a:

This information is solicited under the authority of the National Foundation on the Arts and the Humanities Act, 20 U.S. C. 951 et seq. and is used to select persons to participate in the Arts Endowment’s application review process. Disclosure of this information may be made to members of Congress and to the general public, upon request in accordance with the Freedom of Information Act (5 U.S. C. 552). Personal biographical data including home address, home telephone number, and social security number will not be released and is exempt from disclosure under FOIA exemption (b)(6).

Equal Opportunity

Arts Endowment programs do not discriminate on the basis of race, color, national origin, sex, disability, or age. For further information, write to Director, Civil Rights Division, National Endowment for the Arts, Washington, DC 20506-0001.

List of Codes (NOTE: cultural specializations are at end of list)

05 ARTS ADMINISTRATION

Role/Function

015 Administrator/Manager

070 Arts Consultant

075 Assistant/Deputy Director

085 Board Member/Trustee

131 Computer-Based Artist

150 Consultant

155 Contract Employee

230 Educator

240 Executive Director/President

260 Former Board Member

265 Former Staff Member

285 Legislator

390 Program Director/Staff

460 Staff

130 Technology Specialist

510 Volunteer

Specialization/Activity

075 Audience Demographics/Development

090 Board Development

115 Community Development

225 Disability Access

612 Distance Learning

290 Facility Management/Planning

310 Financial Management

330 Fundraising

335 Governance

340 Grants Management

360 Individual Artist Support

370 Information Services

375 Inner City

420 Long-Range Planning

425 Marketing/Public & Press Relations

520 Organizational/Institutional Development

590 Publications

610 Rural

611 Website Design/Development

10 ARTS PRESENTING

Role/Function

015 Adminstrator/Manager

055 Artist Representative

060 Artistic Director/Staff

085 Board Member/Trustee

120 Company Manager

131 Computer-Based Artist

150 Consultant

170 Critic

175 Curator

215 Editor

230 Educator

335 Patron

365 Presenter

430 Scholar

485 Technical Director

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

020 Alternative Spaces

775 Arts Center

780 Contemporary

215 Dance

225 Disability Access

612 Distance Learning

785 Educational Institution

295 Festivals

390 Interdisciplinary/Performance Art

400 International Arts

455 Music

460 Musical Theater

515 Opera

665 Theater

611 Website Design/Development

20 Dance

Role/Function

015 Administrator/Manager

035 Archivist/Librarian

055 Artist Representative

060 Artistic Director/Staff

080 Ballet Master/Mistress

085 Board Member/Trustee

110 Choreographer

131 Computer-Based Artist

150 Consultant

170 Critic

190 Dancer

195 Designer

215 Editor

230 Educator

250 Filmmaker/Videomaker

315 Media Artist

330 Notator

335 Patron

365 Presenter

430 Scholar

480 Teacher/Artist

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

085 Ballet

225 Disability Access

612 Distance Learning

245 Early

285 Experimental

325 Folk/Traditional

405 Jazz

435 Modern/Contemporary

440 Movement Theater

650 Tap

611 Website Development

List of Codes (cont.)

25 DESIGN

Role/Function

015 Administrator/Manager

025 Architectural Designer (non-lic.)

030 Architect

085 Board Member/Trustee

131 Computer-Based Artist

150 Consultant

175 Curator

195 Designer

215 Editor

230 Educator

235 Engineer

350 Planner

370 Preservationist

430 Scholar

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

050 Architecture

225 Disability Access

612 Distance Learning

255 Environmental Design

755 Fashion and Costume Design

345 Graphic Design

565 Historic Preservation

355 History

365 Industrial/Product Design

395 Interior Design

410 Landscape Architecture

610 Rural

635 Space Planning

695 Urban Design/Planning

611 Website Design/Development

30 EDUCATION

Role/Function

015 Administrator/Manager

020 Advocacy Group Member

050 Artist in Residence

131 Computer-Based Artist

150 Consultant

160 Coordinator

185 Curriculum Development Specialist

216 Education Director

226 Education Staff

426 Evaluator

331 Parent

425 Researcher

435 School Board Member

436 School Counselor/Psychologist

440 School Principal/Assistant Principal

445 School Superintendent

476 Student

475 Teacher/Specialist

130 Technology Specialist

500 Union Rep/Official

Specialization/Activity

060 Arts

061 Assessment

210 Curriculum Development

225 Disability Access

612 Distance Learning

251 Elementary

381 Instructional Design & Development

510 Non-arts

561 Post-secondary

570 Pre-kindergarten/Early Childhood

574 Professional/Staff Development

576 Program Evaluation

616 Secondary

655 Teaching/Staff Development

611 Website Design/Development

35 FOLK & TRADITIONAL ARTS

Role/Function

015 Administrator/Manager

044 Anthropologist

045 Artist

055 Artist Representative

060 Artistic Director/Staff

085 Board Member/Trustee

150 Consultant

170 Critic

175 Curator

215 Editor

230 Educator

236 Ethnomusicologist

256 Folklorist

340 Patron/Collector

365 Presenter

430 Scholar

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

050 Architecture

150 Crafts

195 Cultural Anthropology

215 Dance

225 Disability Access

612 Distance Learning

305 Film

355 History

415 Literature

455 Music

600 Radio

605 Recording Production

640 Storytelling/Oral History

700 Video

611 Website Design/Development

(continued on next page)

List of Codes (cont.)

40 INTERDISCIPLINARY ARTS

Role/Function

015 Administrator/Manager

045 Artist

055 Artist Representative

060 Artistic Director/Staff

085 Board Member/Trustee

110 Choreographer

125 Composer/Arranger

131 Computer-Based Artist

150 Consultant

170 Critic

230 Educator

295 Librettist

340 Patron/Collector

345 Performer

355 Playwright

365 Presenter

380 Producer

430 Scholar

465 Stage Director

130 Technology Specialist

500 Union Rep/Official

540 Visual Artist

510 Volunteer

525 Writer

Specialization/Activity

225 Disability Access

612 Distance Learning

305 Film

380 Installation

411 Lighting Design

800 New Work: Musical Theater

805 New Work: Opera

540 Performance

600 Radio

620 Site Specific Work

630 Sound

700 Video

611 Website Design/Development

45 INTERNATIONAL ACTIVITIES

Role/Function

015 Administrator/Manager

045 Artist

060 Artistic Director/Staff

085 Board Member/Trustee

131 Computer-Based Artist

150 Consultant

170 Critic

215 Editor

230 Educator

335 Patron

365 Presenter

380 Producer

430 Scholar

130 Technology Specialist

500 Union Rep/Official

Specialization/Activity

200 Cultural Exchange

225 Disability Access

612 Distance Learning

250 Education

280 Exhibitions

295 Festivals

521 Organizational Partnerships

550 Performing Arts

685 Training

611 Website Design/Development

50 LITERATURE

Role/Function

015 Administrator/Manager

035 Archivist/Librarian

060 Artistic Director/Staff

085 Board Member/Trustee

090 Book Distributor

105 Bookstore Owner/Staff

131 Computer-Based Artist

150 Consultant

170 Critic

215 Editor

230 Educator

300 Linguist

305 Literary Agent

310 Literary Programmer

375 Printer

400 Publisher

430 Scholar

130 Technology Specialist

495 Translator

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

190 Creative Non-fiction

225 Disability Access

612 Distance Learning

260 Essays

300 Fiction

545 Performance Poetry

560 Poetry

611 Website Design/Development

55 MEDIA

Role/Function

015 Administrator/Manager

035 Archivist/Librarian

060 Artistic Director/Staff

085 Board Member/Trustee

131 Computer-Based Artist

150 Consultant

170 Critic

180 Curator/Programmer

200 Director

230 Educator

255 Film/Video Editor/Technician

250 Filmmaker/Videomaker

List of Codes (cont.)

55 MEDIA ARTS (cont.)

380 Producer

430 Scholar

480 Teacher/Artist

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

040 Animation

080 Audio Art

601 Audio/Radio

095 Cable

120 Computer Arts

225 Disability Access

612 Distance Learning

230 Distribution

235 Documentary

280 Exhibitions

285 Experimental

295 Festivals

305 Film

770 Film/Video

385 Interactive Arts

400 International Arts

470 Narrative

565 Preservation

585 Public Broadcasting

600 Radio

660 Television

700 Video

611 Website Design/Development

60 MUSEUM

Role/Function

015 Administrator/Manager

060 Artistic Director/Staff

085 Board Member/Trustee

115 Collector

131 Computer-Based Artist

145 Conservator

150 Consultant

170 Critic

175 Curator

215 Editor

230 Educator

245 Facilities Manager

270 Installation Designer

271 Internet Art Curator

272 On-line Archivist

335 Patron

395 Publications Director/Staff

420 Registrar/Collections Manager

430 Scholar/Art Historian

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

740 20^th Century Art: post-1945

735 20^th Century Art: pre-1945

025 American Art

030 Ancient Art/Archaeology: Mediterranean

525 Ancient Art/Archaeology: New World

035 Art of Africa, Oceania, & the Americas

065 Asian Art

135 Conservation: Objects

140 Conservation: Paintings

750 Conservation: Scientist

745 Conservation: Textiles

130 Conservation: Works on Paper

150 Crafts

201 Cultural Studies

220 Decorative Arts

225 Disability Access

612 Distance Learning

240 Drawings & Prints

710 East Asian Art

275 European Art

315 Folk Arts

715 Generalist

720 Latin American/Caribbean Art

480 Native American Art

555 Photography

725 Southeast Asian Art

611 Website Design/Development

730 Western Asian Art

65 MUSIC

Role/Function

005 Accompanist

015 Administrator/Manager

060 Artistic Director/Staff

085 Board Member/Trustee

100 Booking Agent

125 Composer/Arranger

131 Computer-Based Artist

135 Concert Manager

140 Conductor

150 Consultant

170 Critic

215 Editor

230 Educator

275 Instrumentalist

280 Keyboardist

290 Librarian

295 Librettist

335 Patron

365 Presenter

380 Producer

385 Program Annotator

400 Publisher

410 Record Producer

415 Recording Engineer

430 Scholar

130 Technology Specialist

455 Sound Artist

List of Codes (cont.)

65 MUSIC (cont.)

515 Vocalist

510 Volunteer

525 Writer

Specialization/Activity

100 Chamber

105 Choral

110 Classical

225 Disability Access

612 Distance Learning

245 Early Music

246 Electronic Music

265 Ethnomusicology

285 Experimental

295 Festivals

405 Jazz

465 Musicology

500 New Music

645 Orchestral/Symphonic

574 Professional/Staff Development

625 Solo Recitalist

611 Website Design/Development

705 World Music

70 OPERA

Role/Function

015 Administrator/Manager

055 Artist Representative

060 Artistic Director/Staff

085 Board Member/Trustee

110 Choreographer

125 Composer/Arranger

131 Computer-Based Artist

140 Conductor

150 Consultant

170 Critic

195 Designer

210 Dramaturg/Literary Manager

215 Editor

230 Educator

231 General Director

275 Instrumentalist

295 Librettist

530 Lyricist

325 Musical Director

335 Patron

365 Presenter

380 Producer

430 Scholar

431 Singer

465 Stage Director

470 Stage Manager

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

225 Disability Access

612 Distance Learning

226 Early Opera (Baroque)

285 Experimental

495 New American Work: Opera

496 Opera for Young Audiences

501 Professional Development

680 Traditional Opera

611 Website Design/Development

75 THEATER

Role/Function

010 Actor

015 Administrator/Manager

060 Artistic Director/Staff

085 Board Member/Trustee

131 Computer-Based Artist

150 Consultant

170 Critic

195 Designer

200 Director

210 Dramaturg/Literary Manager

215 Editor

230 Educator

320 Mime

335 Patron

355 Playwright

365 Presenter

380 Producer

405 Puppeteer

430 Scholar

450 Solo Performer

465 Stage Director

470 Stage Manager

535 Storyteller

490 Technician

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

790 Circus

110 Classical

780 Contemporary

225 Disability Access

612 Distance Learning

285 Experimental

440 Movement Theater

505 New Plays/Playwright Development

595 Puppetry

670 Theater for Young Audiences

611 Website Design/Development

80 VISUAL ARTS

Role Function

015 Administrator/Manager

045 Artist

060 Artistic Director/Staff

List of Codes (cont.)

80 VISUAL ARTS (cont.)

085 Board Member/Trustee

115 Collector

131 Computer-Based Artist

150 Consultant

170 Critic

175 Curator

215 Editor

230 Educator

335 Patron

430 Scholar

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

055 Artists Books

125 Conceptual Art

145 Contemporary Art

155 Crafts: Clay

160 Crafts: Fiber

165 Crafts: General

170 Crafts: Glass

175 Crafts: Metals

180 Crafts: Paper

185 Crafts: Wood

225 Disability Access

612 Distance Learning

240 Drawing

380 Installation

760 Other Genres

535 Painting

540 Performance

555 Photography

575 Printmaking

580 Public Art

615 Sculpture

630 Sound

700 Video

765 Visual Artists’ Organizations

611 Website Design/Development

85 MUSICAL THEATER

Role/Function

010 Actor

015 Administrator/Manager

060 Artistic Director/Staff

085 Board Member/Trustee

110 Choreographer

125 Composer/Arranger

131 Computer-Based Artist

140 Conductor

150 Consultant

170 Critic

195 Designer

200 Director

210 Dramaturg/Literary Manager

215 Editor

230 Educator

295 Librettist

530 Lyricist

325 Musical Director

335 Patron

345 Performer

365 Presenter

380 Producer

430 Scholar

465 Stage Director

470 Stage Manager

130 Technology Specialist

500 Union Rep/Official

510 Volunteer

525 Writer

Specialization/Activity

225 Disability Access

612 Distance Learning

285 Experimental

490 New American Work: Musical Theater

675 Traditional Musical Theater

611 Website Design/Development

CULTURAL SPECIALIZATIONS

035 African

010 African-American

475 Alaskan Native

015 Anglo-American

070 Asian

012 Asian-American

009 European

011 European-American

801 Intercultural

720 Latin American/Caribbean

350 Latino-American

430 Middle Eastern

485 Native American

484 Native Cultures

449 North American

530 Pacific Islands/Oceania

National Endowment for the Arts

Office of Panel Operations

Nancy Hanks Center

1100 Pennsylvania Avenue, NW

Washington, DC 20506-0001

OMB No. 3135-0098

Exp. 8/31/09

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