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

IMLS Grant Program Application and Post-Award Report Forms

Museum Professional - How to Become a Review - form

Grant Reviewer Application Form: Museum Professionals

OMB: 3137-0071

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http://www.imls.gov/reviewers/museum.aspx
For Museum Professionals

Please fill out the contact information and experience portion in the first section. Then, continue to the following
sections, read the brief descriptions of each program, and, if you are interested in reviewing for that program, fill out
the requested, program-specific information. You may apply for as many programs as you are interested in and
qualified for.
1) First, please determine which IMLS museum grant program(s) you are most
qualified to review based on your education and work experience. For more
information about each program please click on the following links:

Museums for America
Conservation Project Support
National Leadership Grants/Sparks!
21st Century Museum Professionals
Museum Grants for African American History and Culture
Native American/Native Hawaiian Museum Services
2) Next, please check the box that corresponds to the grant program(s) in which you
are most qualified to review.
21st Century Museum Professionals
Conservation Project Support
Museum Grants for African American History and Culture
Museums for America
National Leadership Grants/Sparks!
Native American/Native Hawaiian Museum Services
3) Next, fill out the general reviewer information below.
Prefix:
First Name:
Middle Initial:
Last Name:
Institution:
Job Title:
Mailing Address:
City:
State:
Zip:
Shipping Address (if
different):
City:

-

State:
Zip:
Work Phone:

Home Phone:

E-mail:

Fax:
-

Highest Academic
Degree:

Major Field of Study:

Years of professional museum experience (if applicable):
Years of professional conservation experience (if applicable):
Years of direct involvement with professional museum service organizations (if applicable):

In the drop down box below please explain your level of activity with these organizations (500
characters or less):

Is this your first application to become a reviewer?
Yes
No
Disciplines in which you have the most professional museum experience in the last 5 years.
1st Choice:
- Select Discipline 2nd Choice:

- Select Discipline -

3rd Choice:

- Select Discipline -

Approximate Operating Budget (if applicable):
Current Museum $
Previous Museum (in last 3 years) $
4) Next, click on the boxes which best represent your experience.
Administration/Management

Adult Programming

African American Studies

Collections Care

Community Outreach

Conservation

Curatorial

Curriculum Development

Database Administration

Education

Evaluation

Exhibitions

Facilities Management

Family Programming

Finance

Fundraising

Information Technology

Internships & Fellowship Programs

Interpretation

K-12 Programming

Language Preservation

Managing Technological Resources

Mentoring

Museum Studies

Native American Studies

Professional Development/Training

Publications

Public Relations/Marketing

Registration

Research & Research Methodologies

Institutional Planning

Teaching

Visitor Services

Web Management

Digitization

Conservation Project Support and American Heritage Preservation Grant Reviewers Only
What are the materials in which you have the most conservation experience?
1st Choice:

- Select Material -

2nd Choice:

- Select Material -

3rd Choice:

- Select Material -

4th Choice:

- Select Material -

5th Choice:

- Select Material -

What types of project(s) are you most qualified to review?
1st Choice:
- Select Project Type 2nd Choice:

- Select Project Type -

3rd

- Select Project Type -

What types of project(s) are you most qualified to review?
1st Choice:

- Select Project Type -

2nd Choice:

- Select Project Type -

3rd Choice:

- Select Project Type -

Resume:

Submit Form

Reset Form


File Typeapplication/pdf
AuthorKim A. Miller
File Modified2012-07-10
File Created2012-07-10

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