Grant Application

Please provide three copies of the following:

A. Applicant Information:

1. Name ____________________________________________

2. Address _____________________________________________________________

3. Telephone ___________________ other ______________________

4. Grant Contact Person _________________________________

5. A copy of the current exemption letter from the Internal Revenue Service to the organization as
evidence that the organization is a tax exempt organization under Section 501 (C) 3 of the Internal
Revenue Code. If the applicant is not a 501 (C) 3 please so state.

6. Brief history of the organization, copy of Articles of Incorporation, or Constitution and By-laws.

7. A listing of officers and directors. Please substitute credentials if an individual is requesting funds.

B. Brief description of project:
Please give a brief, concise, accurate and definitive explanation of your
project with suport materials. Please cover the following:

1. How will this project relate to the work of the Texas Historical Foundation?

2. Present a detailed budget for this specific project and complete the enclosed budget summary form wherever applicable.

3. Who will be served or benefited? How many?

4. How will this be accomplished?

5. When will these services be rendered or project completed?

6. If you will be cooperating with other groups in your endeavor, please explain?

7. Have requests for funds been made to other groups for this project? Please list and report amounts received.

C. Financial Information:

1. Budget current fiscal year _____________________________________________

2. Budget preceding fiscal year____________________________________________

3. Total project cost ____________________________________________________

4. Amount requested from Texas Historical Foundation __________________________

5. Matching funds (if any) _______________________________________________

6. Enclose last audit.

D. Institutional Information:

1. Annual attendance___________________________________________________

2. Number served by program____________________________________________

3. Number of days per week open to general public______________________________

4. Year opened _______________________________________________________

5. Number of paid staff: Full time: Part time:__________________________________

6. Number of volunteers_________________________________________________

E. Signature of authorizing official:

Signature ___________________________________________

Title ______________________________________________

Date ___________________________

F. Attach detailed budget Click here to add complete budget information

Forward three copies of this form and any additional information to:

Texas Historical Foundation Post Office Box 50314 Austin, Texas 78763 512.453.2154

For more information please contact the Texas Historical Foundation at admin@texashistoricalfoundation.org; P.O.Box 50314, Austin Texas 78763; call our office at (512) 453-2154 or send a fax to (512) 499-3944.