2018 North Carolina Heritage Award Nomination Form

Heritage Award Nominee

Artist Contact Information:

Status Code:        01
Institution Code:  01

12       Folk Arts
12a     Musician
12b     Dancer
12c     Crafts person
12d     Storyteller
12e     Other

Race/Ethnicity Data Collection: This is a National Standard for Arts Information exchange data collection project to document state arts agency grant making activities.  This information will not be used in making grant decisions.

N   American Indian/Alaska Native    
B   Black, not Hispanic
W   White, not Hispanic
A   Asian/Pacific Islander                    
H   Hispanic
M   Multi-Racial (combination of those above for individuals if no single race/ethnicity applies)

Nominator 

I understand that failure to respond to or provide any of the information requested in the guidelines may seriously hinder the consideration of this nomination and that an incomplete or late nomination will not be eligible.
I certify that the information contained in this application, including all attachments and supporting materials, is true and correct to the best of my knowledge.

 

Artist Narrative

Please refer to the guidelines for instructions on writing the narrative. Attach a double-spaced, three page maximum Word or PDF document.

Work Samples

Please upload the following sample files. After choosing the file on your computer, remember to press the 'Upload' button. You may also skip this process and mail or email files.

Photos

JPG or GIF files only. No more than 10 photos.
After choosing the file on your computer, remember to press the 'Upload' button.

Audio

MP3 files only.
After choosing the file on your computer, remember to press the 'Upload' button.

Video

Please include links to YouTube of Vimeo videos.

Publications

Please upload either a PDF or JPG file.
After choosing the file on your computer, remember to press the 'Upload' button.

Letters of Support

Please upload a maximum of letters in either PDF or Word format.
After choosing the file on your computer, remember to press the 'Upload' button.