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Simpson County Historical Society
206 North College Street
Franklin , KY   42134
270-586-4228 phone and fax 270-586-4429
email:  oldjail@comcast.net

GRANT APPLICATION

Applicant Name & Position:  ____________________________________________________

School/Group Involved: ________________________________________________________

Amount Requested: ___________________________________________________________

Purpose of Funding(e.g. computers, preservation):__________________________________

____________________________________________________________________________

If Academic—Number and Age of Students affected by the Grant:  ____________________

Brief Summary of the Project (Short paragraph; if desired, attach a separate page.)  Include your historical or educational needs and goals, and itemized estimated financial expenditures. 

Address of Group or Individual: _________________________________________________

Contact Person: ______________________________________________________________

Phone: (Day & Evening)   _______________________________Fax:___________________

E-Mail:______________________________________________________________________

Date Submitted: (MM/DD/YYYY)________________________________________________

Grant applications will be reviewed by the SCHS or a SCHS Grant Committee.  Completed applications should be mailed, faxed or delivered to the Simpson County Historical Society at above address.