Community Historic Preservation Fund Application – Historic Harrisburg Association

Step 1 of 4

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Organization Information
Please provide the following information about your organization.
Organization Name*
Address*
Street Address Address Line 2 City State ZIP Code
Organization Mission*
Phone*
Website

Contact Person Information
Please provide the following information on the point the primary point of contact for this application.
Contact Person Name*
First Last
Contact Person Phone*
Contact Person Email*

Project Information
Please provide the following information about the project for which you are requesting the grant funding.
Project Address*
Street Address Address Line 2 City State ZIP Code
Project Description*
Grant Amount Requested*
Please enter a number greater than or equal to 0.

Consent*
I have read the Community Historic Preservation Fund application criteria.
Community Historic Preservation Fund application criteria
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