THG Project Description Application.pdf

Tribal Heritage Grant Application Project Description This form is to be used as a supplement to the Application for Federal Assistance.

1. Project Title:

2. Applicant Name:

Applicant Type:

3. Have you received a Historic Preservation Fund Grant (HPF) in the past? Yes No

If yes, list 3 most recent. HPF grants include: Tribal Heritage Grant, THPO Program Grants, or Underrepresented Community Grants.

4. Amount requested and any matching share if provided:

Federal Share

Matching Share (optional)

Total

5. Type of Project:

If Plans or Repair Work to historic structure/site answer 5a. – 5.d.

5a. Historic Site or Historic District Name:

5b. Historic Property Address:

Street 1

Street 2

City County

State Zip Code

KWarnes Sticky Note Unmarked set by KWarnes

KWarnes Sticky Note Marked set by KWarnes

KWarnes Sticky Note Accepted set by KWarnes

5c. Is the property listed in the National Register of Historic Places or designated a National Historic Landmark?

Yes If yes, enter National Register Information System Number if known.

5d. Does the applicant own the historic property?

Yes

No If no, please submit consent of owner to proceed with project.

7.Project Summary Briefly summarize your project emphasizing the primary objectives and results. The project summary should state the goals of the project in 250 words.

6. Project Director

Organization

KWarnes

Marked set by KWarnes

8. Project Description Address the criteria of Cultural and/or Historic Preservation Issue, Feasibility (See #9 below for Time Line), Commitment and Department of Interior & Long-Term Impact as described in the Tribal Heritage Grant guidance.

Each section should not exceed 1200 words with a font no smaller than 10 points. If additional space is needed attach word document to your application package.

Cultural and/or Historic Preservation Issue and Need:

KWarnes Sticky Note Marked set by KWarnes

KWarnes Sticky Note Marked set by KWarnes

KWarnes Sticky Note Marked set by KWarnes

KWarnes

Marked set by KWarnes

Feasibility:

Commitment:

Department of Interior Priorities and Long-Term Impact:

9. Project Timeline: