Preliminary Application

Project Director:
* Email Address:
Street Address:
City:
State:
Zip Code:
Office Phone:
Home Phone:
Organization which will sponsor the project:
Your relationship to the sponsor:
Tentative title of the project:
Description of the audience you intend to reach:
Humanities subject to be addressed by the project:
Who has been consulted on this project?:
Program format:
Tentative date of your KHC-supported event:
Tentative KHC grant request ($1,500 or less):
Estimate KHC grant amount Salaries & Honoraria:
Estimate KHC grant amount for Travel:
Estimate KHC grant amount for Printing:
Estimate KHC grant amount for Supplies:
Estimate KHC grant amount for Other:
Will you receive Third party funding?:
Describe Project:

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