TCHS Grant Application Form

Recognizing our goal to promote interest in the history of Tulare County and preserve the heritage of our area for future generations, the Tulare County Historical Society developed a Grant Program in 1999, with an annual budget of $2,000. The Society offers financial grants to organizations, institutions and individuals involved in the preservation, promotion, restoration and/or enhancement of Tulare County history. The Society welcomes all grant applications which demonstrate some fashion of Tulare County historical preservation effort. For example: Preserving or restoring a historical building; researching, writing or publishing of a book; acquiring equipment (fax or copy machines, etc.); reproducing historical photographs; or assisting students with a "History Day" project.

All applicants will be considered, leaving open the possibility of awarding several grants each year.

Applicants will be requested to fill out the Grant Application form. Print and mail this form.

On an annual basis, grant applications will be accepted December 1 - March 15. Each April, applications will be reviewed by the Grant Committee, and then be presented to the TCHS Board for discussion and final approval.

Applicants may re-apply on an annual basis.

For further information, contact Grant Program Chair Lari Ommen, larijean@comcast.net, phone 559-732-5829. 

Return to Grant Program

 
1. Please provide the following contact information:
    First Name  
    Last Name  
    Title  
    Organization  
    Street Address  
    City/State/Zip Code  
    Country  
    Work Phone  
    Home Phone  
    Fax  
    Email  
2. Has your organization qualified as a tax-exempt entity under State Law and Section 501(c)(3) of the Internal Revenue Code?

 
3. If yes, enter date  
4. Organization/Institution TIN#  
5. OR, Individual's SSN#  
6. Describe the purpose of the organization, institution or individual applicant, i.e., objectives, past accomplishments, goals. (Use separate sheet if necessary)

 

 

 

 

 

 
7. Total grant amount requested $
8. Project name  
9. Description of proposed use of funds:

 

 

 

 

 
10. Proposed start date for use of this grant  
11. Proposed completion date for use of this grant  
12. Are there additional sources of funds for the project?
13. If yes, please explain:

 

 

 

 
14. CERTIFICATION
I certify that the aforementioned and enclosed information is complete and accurate. (If organization or institution, to be signed by the President, Chair of the Board or other Board Member.)
     Signature  
     Print Name  
     Title  
     Date  

Mail to: Lari Ommen, Tulare County Historical Society, P.O. Box 295; Visalia, CA 93279