NEW ENGLAND LIGHTHOUSE LOVERS
Preservations Committee

Grant Application for Restoration/Preservation Funds

Please answer all questions as completely as possible. For additional space, attach a second sheet of paper and identify your continued reply using the question number.

1. Name of your organization

2. Name of Lighthouse your support/sponsor
   
    Location of Lighthouse

3. Contact Person                                                                            Phone No.

4. Mailing Address you want us to use

5. Does your group have a non-profit designation? Please include a copy of your determination letter.

6. Is this lighthouse currently open to visitors?
   
    Will it be open to visitors when your project is completed?

7. Tell us about the total scope (details) of your restoration/preservation project?

8. When do you expect to begin your project?

9. When do you expect to complete your project?

10. What is the projected total cost of your project? $

11. Identify a specific element of your project that NELL could be named as the donor/sponsor (ie: a door, a window, a staircase, a roof, etc. )

12. Projected cost of this naming element? $

13. Have you, or do you expect, to receive support from other organizations, groups, private/government grants? .If yes, please name the source and the amount of support received/expected from each.

14. Please add any additional comments, information or photos you feel will support your request and help us when considering your application.

Signed                                                               Date

 

NELL-Pres. Form 2
10/2003