FY 2018 ASSISTANCE FOR ARTS EDUCATION DEVELOPMENT AND DISSEMINATION (AAEDD)

ARTS IN EDUCATION NATIONAL PROGRAM (AENP)

SCREENING FORM

Thank you for expressing interest in serving as a peer reviewer and/or panel moderator for the Assistance for Arts Education Development and Dissemination (AAEDD) and Arts in Education National Programs (AENP) grant competitions. By completing and submitting this screening form, you will assist the Department by highlighting pertinent information about your background which may not be included or easily located within your resume.

In order to be considered for this important role, you must complete and submit both this form and your resume or curriculum vitae to veronica.edwards @ ed.gov no later than Friday, June 8, 2018.

General Information

Name: ______

Email: ______

Phone: ______

Attributes and Skills

Select all of the following areas of expertise which apply to you.

Arts Integration and Implementation / Education Administration
Professional Development / Curriculum and Staff Development
Curriculum Development / Community Engagement and Outreach
Evaluation of Educational Programs

Conflicts of Interest

Any individual selected as a peer reviewer or panel moderator for the AAEDD or AENP grant competition will be reviewed for possible, apparent, and/or actual conflicts of interest. The following questions will help the Department ensure the objective and efficient management and administration of the Arts programs, which ultimately ensures the integrity of the Departments functions and public’s confidence in that integrity.

  1. Have you agreed to serve as an employee or consultant, or otherwise provide assistance or advice, on any project for which funding is being sought in an application that will be submitted in either the AAEDD or AENP grant competitions, or have you been offered the opportunity to do so and not yet accepted or declined, based on whether a grant is awarded? __ Yes __ No
  2. Will your personal financial interests be affected by the outcome of either the AAEDD or AENP grant competitions? __ Yes __ No
  3. Did you help to prepare, or do you plan on helping to prepare, one or more applications that will be submitted in either the AAEDD or AENP grant competition, even if you do not have a financial interest in the outcome of the competition? __ Yes __ No

Availability, Desired Program and Desired Role

This peer review process will cover two Arts grant competitions and require a part-time, four week minimum commitment over the time period of July 16, 20178 thru August 18, 2018, via remote methods. We are seeking peer reviewers and panel moderators. Please indicate your availability and preferences below.

I am available for the entire time frame. / I am only available for portions of the time frame.
I am interested in serving as a peer reviewer. / I am interested in serving as a panel moderator
I am interested in serving under the AAEDD competition / I am interested in serving under the AAEDD competition
I am interested in serving under the AENP competition / I am interested in serving under the AENP competition
I am willing to serve under either grant competition / I am willing to serve under either grant competition