Historic Bath Foundation Small Grant Application
Due February 28, 2015 either by email to Patricia Samford at
or mail to the Historic Bath Foundation, PO Box 238, Bath, NC 27808
A. GRANT INFORMATION
Descriptive Title - ______
Amount of Grant Requested - $______
B. CONTACT INFORMATION
Name of Organization/Individual Requesting Grant –______
Contact Person
Name -
Address -
Telephone Number -
Email Address -
C. AREAS OF INTEREST - Select one or more areas of interest that best describe your project in relation to the areas of interest of the Historic Bath Foundation.
-Projects that focus on historic preservation n Bath, including the purchase, restoration and preservation of structures in Bath, North Carolina that have special historical, architectural, archaeological or aesthetic value.
-Assistance with historical research that leads to publication of books, articles, brochures or with the development of educational programs pertaining to Bath and Beaufort County.
-To promote the maintenance and advancement of Historic Bath State Historic Site.
-Programs of historic interest.
D. PROJECT INFORMATION - Describe in detail the proposed work to be accomplishedwith grant funds and other sources of revenue.
E. JUSTIFICATION - Briefly state why you believe that your project is eligible for a grant from the Historic Bath Foundation making reference to one or more of the areas of interest categories above.
F. FINANCIAL INFORMATION
List the source, amount and availability of non-grant funds available to defray the cost of this project, including funds provided by the applicant organization or institution.
Will it be possible for your organization to carry out the proposed project if Historic Bath Foundation Grant Assistance cannot be provided? Explain:
G. BUDGET – Provide the estimated budget, breaking it down in to line items. Indicate the proposed use of Historic Bath Foundation funds and list the amount and proposed use of funds being provided by the applicant organization or institution.
H. FINAL REPORT – Completion of the Foundation’s FINAL REPORT (form will be attached to Memorandum of Agreement document) shall be required of all successful applicant.
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