Ko'o Hana No'eau / HSFCA's Biennium Grants Program  

Panelist Form
Tech Tips

All fields are required unless otherwise marked (optional).
Salutation:(optional)
First Name:
Last Name:
Address:
Address (2):(optional)
City:
Island:(optional)
State:
Zip Code:
Day Phone: EXT:
Evening Phone:(optional)
Email:
Fax #:(optional)
Occupation:
Employed By:(optional)
I am applying to serve as a panelist for (check all that apply):
Folk Arts Apprenticeship Awards  HSFCA Biennium Grant Program  Individual Artist Fellowship 
Have you ever served on an advisory panel for the Hawai'i State Foundation on Culture and the Arts?(optional)
Yes No 
if yes, on which panel(s) and in which year did you serve?
(Maximum Characters: 1,000)
Current number of characters: 0
Check your areas of specialization (check all that apply):(optional)
Arts in Education  Community Arts  Dance  Ethnic Heritage/Traditional Arts  History and Humanities  Literary Arts  Media Arts  Music/Opera  Presenting  Theatre  Visual Arts 
Record your primary area of expertise in culture, arts, or history and humanities:
Indicate secondary area(s) of expertise (you may select more than one):
Please provide a resume, curriculum vitae, or arts and culture background summary: (Maximum Characters: 3,300)
Current number of characters: 0
Check the following that best describes you (for national reporting purposes):(optional)
If other, please specify
Applicants with disabilities, please list any specific accommodations needed at meetings:(optional) (Maximum Characters: 255)
Current number of characters: 0
If you know of other qualified individuals who would be interested in serving on an HSFCA panel, we would be happy to send them an application form. Please indicate names(s) and contact information below:(optional) (Maximum Characters: 10,000)
Current number of characters: 0
250 South Hotel Street, 2nd Floor, Honolulu, Hawai`i 96813
Telephone: (808) 586-0300 | Fax: (808) 586-0308
©2006 State of Hawai'i. All rights reserved.