Nomination Form
Northwest Minnesota Arts Council – 115 South Main – Warren, MN 56762
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An ELIGIBLE NOMINATION must include one completed typed nomination form, narrative on merit, letters supporting the nomination, a copy of the nominee’s resume or detailed qualifications and be received by February 28, 2013. Only residents of the Minnesota counties Kittson, Marshall, Norman, Pennington, Polk, Red Lake, and Roseau are eligible for these $500.00 awards.
I wish to nominate: Name
Address
City/State/Zip
Day Time Phone Number
Other Phone Number
Art Discipline
My name is: Name
Address
City/State/Zip
Day Time Phone Number
Other Phone Number
RESTRICTIONS: Each award can be received only once in a lifetime. Nominations will not be carried over from year to year. Previous nominees must be re-nominated each year. It is the policy of NWMAC that nominees will not be notified of their nomination unless they are chosen to receive an Award.
* * * * * * * *
1. Please check one.
This nomination is for:
Northwest Artist
Northwest Advocate (arts supporter)
2. Attach a narrative addressing the following questions: (Please use 12 point type and do not exceed two pages)
Northwest Artist
a. On what merit are you nominating this artist?
b. How does this artist’s work enhance and impact the arts community in our region?
Northwest Advocate
a. On what merit are you nominating this art supporter?
b. Describe the impact this arts supporter has had on his/her peers and our region. Mention the specific project or programs they have been involved in that have made substantial contributions to the arts.
3. Optional: Attach support materials such as work samples (up to 5 examples), letters of support (up to 3 letters), and/or additional background information on the person.
4. Send all materials to Mara Wittman, NW MN Arts Council, 115 South Main, Warren, MN 56762 by February 28, 2013.
Awards will be distributed at the artist reception of the Northwest Minnesota Art Exhibition in May 2013.