Utah Community Preservation Scholarship Application
Please complete the following application if you are interested in obtaining a Utah Preservation Scholarship for 2017. In order to be eligible for reimbursement, applications must be submitted and approved prior to attending any event. For more information about the Utah Preservation Scholarship program, please visit www.preservationutah.org.
Name *
Your answer
Name of Organization/Municipality/CLG *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Email Address *
Your answer
Check the box of the group that most appropriately reflects your historic preservation involvement in Utah (choose one) *
Please clearly state your involvement indicated in the category above (such as Candyland Main Street Program or Hobbitville Planning Commission) *
Your answer
Amount of funding requested through this application ($500 maximum) *
Your answer
For which professional development opportunity you are submitting an application? (choose one) *
By checking this box, I acknowledge that I have read the scholarship program expectations and understand that I am eligible to receive reimbursement through this program after I've attended the conference or workshop specified in this application, and submitted a final report and receipts. *
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