Cover Sheet (Word Doc)
South Dakota Preservation and Restoration
Grant Application
Project: ____________________________________________ Date:_________________
Grant Application: _____ Building _____ Memorial _____ Landmark
Building (specify):
_____ Interior _____ Exterior _____ Furnishings _____ Collections
Memorial (specify work): ________________________________________________________________
Landmark (specify work): ________________________________________________________________
Organization Responsible for Project Completion (Organization to whom check should be written):
______________________________________________________________________________________
(Note: organization must have non-profit status as defined by Section 501(c)3 of the Internal Revenue Code. The project site
cannot be privately owned.)
Primary Contact for that Organization:
Name ________________________________________________________________________________
Address ______________________________________________________________________________
Contact Information _____________________________________________________________________
(Home phone, work phone and email, if available)
Project Dates:
Work to Begin on:___________________ Work to be Completed by: _________________
Sponsoring Quester Chapter: ____________________________________________________________
Chapter P&R Liaison: _________________________________________________________________
Liaison Address_______________________________________________________________________
Liaison Contact Information_____________________________________________________________
(Home phone, work phone and email if available)
Other Sponsoring Chapters: ____________________________________________________________
State P&R Guidelines
Updated September 2008