3135-0112 NEA Jazz Masters

NEA Jazz Masters Fellowships Nomination Form

NEA Jazz Masters Fellowships Nomination Form
To make a nomination, enter the first and last name of the individual and indicate if the
nomination is for the performer or advocate category. To complete the nomination, you
must attach the two required PDF supporting documents as described in the guidelines,
and then click submit.
A nominee must be a living U.S. Citizen or permanent resident of the United States.
Nominations must be submitted in English.
Nominee Information
Enter the name of the individual you would like to nominate:
First name (Required)
Middle name (Optional)
Last name (Required)
Advocate/Performer This field is required.
-Select-

Options: Advocate or Performer

Use the attachment boxes below to submit the two required documents (PDF
format only). Incomplete nominations will not be accepted.
The size limit is 1 MB for each attachment.
Attachment 1 – Nomination Statement or Letter This is required.
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No file selected.

One file only.
1 MB limit.
Allowed types: pdf.

NEA Jazz Masters Fellowships Nomination Form

Attachment 2 – Nominee's Biography or Resume This is required.
Browse

No file selected.

One file only.
1 MB limit.
Allowed types: pdf.
Nominator information
First name (Required)
Last name (Required)
Organization (if applicable)
Street Address 1 (Required)
Street Address 2
City (Required)
State (Required)
Zip (Required).
Country (Required)
Phone (xxx-xxx-xxxx)
Email (Required).
In the event of a major emergency (e.g., a hurricane), the NEA Chair may adjust
application deadlines for affected nominations. If a deadline is extended for any reason,
an announcement will be posted on our website.

NEA Jazz Masters Fellowships Nomination Form
Agency Contact
Katja von Schuttenbach
NEA Jazz Masters Fellowships
National Endowment for the Arts
vonschuttenbach@arts.gov
Paperwork Reduction Act Statement
The public reporting burden for this collection of information is estimated at an average
of 1 hour 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. We welcome any suggestions that you might
have on improving the guidelines and making them 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: webmgr@arts.gov,
attention: Reporting Burden. Note: Applicants are not required to respond to the
collection of information unless it displays a currently valid U.S. Office of Management
and Budget (OMB) control number.
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 primarily used for the purpose of
application review. Personal data, such as home address or personal cell phone
number may not be released, either in entirety or in part, as exempt from disclosure
under FOIA exemption (b)(6). Failure to provide the requested information could result
in rejection of your application.
OMB No. 3135-0112 Expires TBD