Form Application Form 7 Application Form 7 Grant Reviewer Application Form: Museum Professionals

For Museum Professionals
Thank you for your interest in serving as a peer reviewer for IMLS.
Please provide the information requested below, upload a copy of your resume, and click “Submit Form” at the
bottom of the page.
Contact Information
Prefix:
First Name:
Middle Initial:
Last Name:
Institution:
Job Title:
Mailing Address:
City:
State:
Zip:

-

Work Phone:
Mobile Phone:

-

E-mail:
Training
Highest Academic Degree:
Major Field of Study:
Years of Relevant
Professional
Experience:
Experience and Expertise
Administration/Management

Historic Preservation

Adult Programming

Internships & Fellowship Programs

Audience Development/Visitor Services

Interpretation

Collections Management

K-12 Programming

Community Outreach

Managing Technological Resources

Conservation Environmental Improvements

Mentoring

Conservation Survey

Multimedia

Conservation Treatment

Organizational Planning and Development

OMB No. [___________] Exp. [______] 

Curatorial

Providing Professional Development

Database Management

Research & Research Methodologies

Digitization

Social Media

Early Learning

Software Applications

Education

Technology Infrastructure (software, hardware)

Evaluation/Visitor Studies

Teen Programming

Exhibitions

Website Development

Family Programming

Working With Volunteers

If you have expertise in collections care/conservation, please identify the materials with which you have the most
working experience:
Animals, living

Paintings

Animals, preserved

Photographic Materials

Architecture

Plants, living

Books and Paper

Plants, preserved

Electronic Media

Textiles

Objects

Wooden Artifacts

Institution/organization type(s) with which you have significant professional experience and expertise:
Aquarium
Arboretum/Botanical Garden

Museum Service Organization/Association
Native American Tribe/Native Hawaiian
Organization

Art Museum

Natural History/Anthropology Museum

Children's/Youth Museum

Nature Center

General Museum

Planetarium

Historic House/Site

Science/Technology Museum

Historically Black College/University (HBCU)

Specialized Museum

History Museum

Zoo

Institution of Higher Learning

Other

Institutional Operating budget(s) with which you have significant experience:
Under $250,000

$250,000 - $999,999

OMB No. [___________] Exp. [______] 

$1,000,000 - $3,999,999

$4,000,000 and above

In the box below, please provide any additional information you wish about your
expertise and interest in being an IMLS reviewer:

Select the grant program(s) for which you are interested in serving as a peer
reviewer.
Museum Grants for African American History and Culture
Museums for America
National Leadership Grants/Sparks!
Native American/Native Hawaiian Museum Services

Demographic Information (optional)
Gender:

Male

Race (check all that apply)::
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Do not wish to provide
Ethnicity:

Hispanic or Latino

For more information about each program, please click on the following links:
Museum Grants for African American History and Culture
Museums for America
National Leadership Grants/Sparks!
Native American/Native Hawaiian Museum Services

OMB No. [___________] Exp. [______] 

Please upload a copy of your resume.
Resume:
Submit Form

Reset Form

IMLS is collecting this information in conformance with the Museum and Library Services Act of 2010, as amended, and the
Privacy Act of 1974. IMLS may use the information collected for statistical purposes and in connection with the design,
implementation, and monitoring of IMLS efforts to increase the participation of various groups in the IMLS peer review
process. The information collected will be kept confidential to the extent permitted by law.

OMB No. [___________] Exp. [______]