Welch Award Nomination Form | Fund for the Arts

Nominator Information
Name*
First Last
Occupation/Organization*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Nominee Information
Name*
First Last
Occupation/Organization
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
How do you know the nominee?*
How long have you known the nominee?*
Nominee’s Arts Engagement:*
Recommendation*
Please describe why the nominee should be considered for this award (500-word maximum).
Nominee Photo
Drop files here or

Accepted file types: jpg, gif, png, Max. file size: 50 MB.
Please upload a head shot of the nominee if available.
Submitter Online Signature*

By typing my name and date below am I signifying that I recommend the nominee for the James Welch Sr. Arts Leadership Award given by the Fund for the Arts and sponsored by Stoll Keenon Ogden .
Date
MM slash DD slash YYYY
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Nominator Information