Historic\ Bath\ Foundation\,\ Inc\. - Small Grant Application

Small Grant Application

A. GRANT INFORMATION

Descriptive Title for Project *

Amount of Grant Requested *

B. APPLICANT INFORMATION

Name of Individual or Organization Requesting Grant *

Address *

City *

Zip *

Contact Person *

Phone *

C. AREAS OF INTEREST

Select one or more items that best describe your project
in relation to the areas of interest for the Historic Bath Foundation *

Promote the maintenance and advancement of Historic Bath Historic Site.

Assist in historical research and study pertaining to Bath and Beaufort County,
which will be of value in the study of North Carolina history.
This includes the publication of books, pamphlets and other printed material.

Aid in the purchase, preservation, rehabilitation or restoration of structures
and sites in Bath that have special historical, architectural, or aesthetic value.

Implement an educational program of historic interest to Bath and Beaufort County.

D. PROJECT INFORMATION

Describe in detail the proposed work to be accomplished
with 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 into 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<br>required of all successful applicants.