Cleveland Arts Prize PRINTABLE NOMINATION FORM

2004 deadline for submission: Monday, May 10.

Nomination forms with incomplete information will not be considered.

Please print out and mail with support materials described in the criteria section to:

Cleveland Arts Prize
P.O. Box 21126
South Euclid, Ohio 44121-0126.

Date:

Category of Nomination   (circle one) :
Architecture / Dance / Literature / Music / Visual Arts / Special Citation / The Robert P. Bergman Prize
NOMINEE INFORMATION

Name:


Position/Title:


Affiliated With:



Street Address:


City/State/Zip:


Business Phone:


Home Phone:

 

 

 

NOMINATOR INFORMATION

Name:


Position/Title:


Affiliated With:


Street Address:


City/State/Zip:

 

Business Phone:


Home Phone:


Fax:


E-mail:


 

RATIONALE FOR NOMINATION


Why is this work important?

 

 

 

 

 

 

 

(For Arts Prize nominations only)
What local and national recognition has this work received?

 

 

 

 

 

(For Special Citation and The Robert P. Bergman Prize nominations only)
How has this work benefited Greater Cleveland and specifically whom has it benefited?

 

 

 

 

 

In what capacity and for how long have you known and/or worked with the nominee?

 

 

 

Thank you for your nomination.


Monday, May 10, 2004 - Deadline for Nominations