Cover Sheet (Word Doc)
South Dakota Preservation and Restoration
Grant Application
Project: ____________________________________________ Date:_____
Grant Application: _____ Building _____ Memorial _____ Landmark
Building (specify):
_____ Interior _____ Exterior _____ Furnishings _____ Collections
_____ Other _____________________________________________________
Memorial (specify):
_______________________________________________________________
Landmark (specify):
________________________________________________________________
Organization Responsible for Project Completion (Organization to whom
check should be written): ___________________________________________
(Note that the organization must have non-profit status as defined by Section 501(c)3 of the
Internal Revenue code. The project cannot be privately owned.)
Primary Contact for that Organization: ______________________________
Name _________________________________________________________
Address _______________________________________________________
Contact Information _______________________________________________
(Home phone, work phone and email if available)
Project Dates:
Beginning Date:___________________ Completion Date: _____________
Sponsoring Chapter: _____________________________________________
Chapter P&R Liaison: ____________________________________________
Address________________________________________________________
Contact Information______________________________________________
(Home phone, work phone and email if available)
Other Sponsoring Chapters: ________________________________________
State P&R Guidelines
Updated October 2007