2023 Maintenance and Repair Grant Pre-Application

Please fill out and upload your organization's documents in order to complete the application.

Organization Information

Full Name of Applicant Organization *

Is the Applicant Organization a 501 (c) (3)? *

Yes
No

Web address for the Site/organization

List other organizations/groups that use the facility *

Number of parish members *

What services does your organization provide to the community? *

Contact information for the person coordinating the grant for the organization

Organizational Contact Name *

First

Last

Organizational Contact Phone *

Alternative phone number

Organizational Contact Email Address *

Alternative Email Address

Contact/Organizational mailing address (must fill each field) *

Address Line 1

City

State

Zip Code

Physical address of project site (must fill each field) *

Address Line 1

City

State

Zip Code

Project Information

Brief explanation of project scope *

Why is this project a priority for the project site? What studies, reports, or observations (i.e. condition assessment, maintenance plan, preservation plan, etc.) were used to draw this conclusion? *

Has the applicant received a Maintenance and Repair Grant from Preservation Connecticut for the project site? *

Yes
No

Please list any other major preservation projects that have been undertaken at the project site in the last 10 years. *

Amount of the request (up to $15,000) *

Will you have matching funds available by the time of application?

Site Information

Resource's historic designation. Property must be listed on the State or National Register of Historic Places to qualify.

National Register of Historic Places
National Register of Historic Places, District
State Register of Historic Places
State Register of Historic Places, District

Photos

You must submit at least 3 photos in .jpg or .png format: 1 photo must be a general view of the project site and at least 2 photos must illustrate project area.**If you are having trouble uploading photos and documents, please allow one file to finish uploading before uploading another.**

Upload a general view of the exterior or project site

Click or drag a file to this area to upload.

(1/2) Please upload a photograph that represents the project (for example, the entire roof or an entire room with water damage on the ceiling)

Click or drag a file to this area to upload.

(2/2) Please upload a photograph that represents the project (for example, the entire roof or an entire room with water damage on the ceiling)

Click or drag a file to this area to upload.

If this project is informed by a condition assessment, preservation or maintenance plan, please upload a PDF copy of the report.

Click or drag a file to this area to upload.

How did you hear about this funding opportunity? *

2023 Maintenance and Repair Grant Pre-Application

Please fill out and upload your organization's documents in order to complete the application.

Organization Information

Contact information for the person coordinating the grant for the organization

Project Information

Site Information

Photos

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