www.njht.org
njht@dca.nj.gov
(609) 984-0473 Applications due by 4:00 p.m., Thursday, April 14, 2022 2022 grant application
historic site management

Instructions

All questions with an * are required. Some questions are only required if you gave a certain answer in a previous question. Those are denoted with a +.
Make sure to adhere to the maximum word limits on all questions. You will not be able to enter more than this in the online application, and evaluators will not consider answers that exceed the limit.
All applicants should read the Grant Guidelines (pdf) carefully before applying. The guidelines include important information about eligible applicants and activities, criteria for evaluation, schedule for review, and more.
In addition to the application, you will need to submit a USB drive of supporting documentation to the Trust office by the application deadline. A Supporting Documents Checklist is included at the end of this application. The end of each section also has a list of supporting documents for that section.
The Governing Body Resolution (Word doc) and Applicant Assurances (Word doc) are required as part of Attachment A on the USB drive.

Owner Assurances (Word doc) are required as part of Attachment B for any properties not owned by the applicant.
Whether you are submitting the application online or have been given permission by the Trust to submit as a Word document, do not wait until the last minute! This is a complex application and there are bound to be glitches. Start early to avoid missing the deadline.
Applications and USB drives are due to the Trust office by 4:00 pm on April 14, 2022, no exceptions.

Eligibility Questions

Please answer the following pre-application questions to determine eligibility for the grant program. Please note that the following application is for Historic Site Management (HSM) projects. This includes two general types of projects: traditional HSM projects such as Preservation Plans, Historic Structures Reports, conditions assessments, design documents, etc.; and Municipal, County, and Regional Planning Projects (MPPs) such as architectural surveys, design guidelines, historic preservation elements of a municipal or county Master Plan, and the preparation or revision of a local Historic Preservation Ordinance. For a full list of eligible projects and more information on how to determine if your project is a Municipal, County, or Regional Planning Project, please review the Grant Guidelines or contact NJHT staff at 609-984-0473.

Is the applicant an entity of county, municipal, or state government OR a 501c tax-exempt organization in compliance with NJ charity registration laws?

☐ Yes

☐ No

Does the applicant own the property(ies) OR have permission of the owner(s) to conduct the proposed activities?

☐ Yes

☐ No

+If no, you will need to provide signed Owner's Assurances forms for any properties not owned by the applicant or co-applicant in order to establish eligibility for the grant program. If your application is for a district nomination or Municipal, County, or Regional Planning Project, the Owner's Assurances form must be provided for each municipality within the boundaries of the proposed project area, not every property in the project area.

Is the resource either individually listed or considered eligible for individual listing in the New Jersey or National Register of Historic Places or a contributing resource to a NJ or National Register-listed or eligible historic district? For Municipal Planning Projects, is there at least one resource involved in this project that is either individually listed or considered eligible for individual listing in the New Jersey or National Register of Historic Places or a contributing resource to a NJ or National Register-listed or eligible historic district?

☐ Yes

☐ No

If you answered no to one or more of the eligibility questions, you may not be eligible for this grant. Please contact NJ Historic Trust staff at 609-984-0473 to discuss your project further before proceeding with the application.
If you have answered yes to all of the eligibility questions, you may continue with the application. Please note this does not guarantee eligibility.

Make sure to review the grant guidelines for all eligibility criteria and contact NJ Historic Trust staff with any questions at 609-948-0473 or njht@dca.nj.gov.

Project Summary

Project Title (ex. “Preservation Plan for Historic Bank of Main Street”):*

Please enter all dollar amounts using the format $X,000.00 and round up to the nearest whole number, no cents.

Historic Site Management grant applicants are eligible for a 3:1 funding match in which the trust may provide up to 75% of project funding. The applicant must demonstrate the ability to match 25% of the total project cost for which the grant is requested. In other words, the applicant must provide $1.00 in funds to the request of $3.00 in grant money from the Trust for every $4.00 of project costs. HSM grant awards are not to exceed $75,000.00.

Grant Request:*

Total Project Cost:*

Project Summary (500 word max):*

Applicant Information

Applicant Contact Person First Name:*

Applicant Contact Person Last Name:*

Applicant Contact Person Phone Number:*

Applicant Contact Person Email:*
Applicant Organization Name:*

Organization Mailing Address:*
Organization Phone:*

Organization Email:*

Organization Website:

Organization Type:*

☐ Entity of County, Municipal, or State Government

☐ 501(c) Tax Exempt Organization

Federal EIN:

+Required for 501(c) organizations only:

NJ Charitable Registration Number:

If there is a co-applicant, please provide the organization name and their relationship to the historic resource:

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment A – Applicant Information):

If applicable, provide the following documentation in a folder labeled "Attachment A" on the USB Drive:

1. IRS 501(c) Determination Letter (required for non-profit applicants only)

2. Applicant Assurances (required)

3. Governing Board Resolution (required)

Property Ownership

Are all properties owned by the applicant or co-applicant?*

☐ Yes

☐ No

+If no, for any properties not owned by the applicant or co-applicant, the Owner's Assurances must be included on the USB drive as Attachment B. For Municipal, County, and Regional Planning Projects and district nomination applications there are no ownership or lease requirements, but the Owner's Assurances form must be provided by each municipality within the boundaries of the proposed project area, not every property in the project area. These applicants should demonstrate community support for the project through documentation in Attachment G. The Owner’s Assurances form can be found at the end of this document.
Have all necessary Owner's Assurances have been signed and included as Attachment B on the USB drive?

☐ Yes

☐ No

+If the Owner’s Assurances cannot be obtained by the application deadline, please explain why not and what the timeline is for obtaining it: (250 word max)

Please note that if Owner’s Assurances cannot be obtained, your application may be ineligible for funding.

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment B – Owner Information):

If applicable, provide the following documentation in a folder labeled "Attachment B" on the USB Drive:

1. Owner Assurances

Property Information & Historic Significance

To be eligible for a historic site management grant, all properties must be individually listed or considered eligible for listing or a contributing resource to a listed or eligible historic district in the NJ or National Register of Historic Places by August 1, 2022.

For Municipal, County, and Regional Planning Projects, at least one resource involved in the project must either be individually listed or considered eligible for individual listing in the New Jersey or National Register of Historic Places or a contributing resource to a NJ or National Register-listed or eligible historic district.

To determine a property's register status, visit the NJ Historic Preservation Office (HPO) website. You can also utilize their LUCY GIS platform, an online viewer for New Jersey’s cultural resources inventory. Some National Register nominations have been digitized and can be found in the National Park Service database.

If the property is located in a historic district, but not specifically noted as contributing, you must obtain a letter from the State Historic Preservation Office (SHPO) certifying that it is a contributing resource. A certification letter must be requested from the SHPO at least 45 days before the application deadline.

If the property is not listed either individually or as part of a historic district, you must obtain a Certificate of Eligibility from the State Historic Preservation Office by August 1, 2022.

If you still cannot find your property, or have questions about register status only, contact NJ HPO at (609) 984-0176.

If you have questions about the overall eligibility of your proposed project, contact the Historic Trust at (609) 984-0473.

The proposed project is for:*

☐ A single property or historic district

☐ Multiple properties (not including architectural surveys)

☐ A Municipal, County, or Regional Planning Project (this may include preparation of Design Guidelines; preparation or revision of a local Historic Preservation Ordinance; preparation of a historic preservation element to a municipal or county Master Plan; or preparation of an architectural survey to identify historic properties)

If this is application is for more than one property, or for a Municipal, County, or Regional Planning Project, please choose one relevant property or district as the "reference property." You will be able to list all the properties in another question.

Over time, historic sites may be known by different names. When referencing your property, please use the name provided by the NJ Historic Preservation Office (HPO) website.

Property Name, as listed by the NJ HPO:*

Physical property address:*

Property City:*

Property County:*

Property State:*

Property Zip Code:*

Provide a link to the property in Google Maps:*

+Required if Municipal Planning Project: Please provide a map of the project area with the boundary clearly delineated in Attachment C.

NJ Legislative District of the property (find your legislator):*

US Congressional District of the property (find your representative):*

Is the resource listed or eligible for listing in the NJ or National Register of Historic Places? (either individually or as a contributing resource to a historic district)*

☐ Listed

☐ Eligible

☐ Neither

+Required if listed or eligible: What is the register status of the resource? Check all that apply.
☐ Individual
☐ Contributing resource to a historic district
☐ New Jersey Register
☐ National Register
☐ National Historic Landmark
+Required if neither: Please note that in order to be eligible, all properties must be listed or eligible for listing by August 1, 2022. Please explain what steps will be taken to meet the criteria by the deadline. (250 word max)

+Required if multiple properties but not for Municipal Planning Projects: Please list all properties below (name only).

+Required if multiple properties but not for Municipal Planning Projects: Are all of the properties listed or eligible for listing in the NJ or National Register of Historic Places? (either individually or as a contributing resource to a historic district)

☐ Yes

☐ No

++Required if no: Please note that in order to be eligible, all properties must be listed or eligible for listing by August 1, 2022. Please explain what steps will be taken to meet the criteria by the deadline. (250 word max)

What is the historic significance of the resource(s), district, or community and why is it important to preserve? Please include relevant dates, building phases, people, events, etc. (1000 word max)*

Give a brief history of the property's use. Include historic and current uses, and future plans. For Municipal, County, and Regional Planning Projects, give a history of the community’s development and planning history. (500 word max)*

When did the applicant acquire or lease the property? Explain the applicant’s use and stewardship of the property. (500 word max)*

+Required for Municipal Planning Projects only: Detail the applicant’s involvement with the community. (500 word max)*

Describe any structural threat, inappropriate use, or preservation need faced by the resource, district, or community—this includes any developmental pressure or financial stressors facing the resource, district, or community. If it is endangered, explain the nature of the threats and why they developed. (500 word max)*

+Required for Municipal Planning Projects only: Give a summary of previous and current historic preservation efforts at the municipal/county level. Is protection of historic resources explicitly empowered in the municipal master plan? Please identify existing historic preservation planning documents by title and date of adoption. (750 word max)*

ATTACHMENTS CHECKLIST FOR THIS SECTION

(Attachment C – Eligibility and Register Status):

If applicable, provide the following documentation in a folder labeled "Attachment C" on the USB Drive.

1. The most recent nomination form or eligibility statement for each property or historic district

For more specific information about including nomination and eligibility information see the Supporting Documents Checklist.

If you need a copy of your nomination form, some National Register nominations have been digitized and can be found in the National Park Service database. If your nomination has not been digitized, or your site is not National Register-listed, and you need a copy, contact NJ HPO at (609) 984-0176.

2. For Municipal, County, and Regional Planning Projects, attach a map of the project area with the boundary clearly delineated.

3. For Municipal, County, and Regional Planning Projects, attach any existing planning documents that demonstrate a commitment to historic preservation (Municipal and/or County Master Plan, local historic district ordinance, existing surveys, etc.).

Project Concept & Team

What are the goals of this project? How will this project address the needs of the resource(s)? For Municipal, County, and Regional Planning Projects (MPPs), how will this project support historic preservation efforts in the municipality or region? (1000 word max)*

What activities are included in this project? (check all that apply*

Historic Site Management Projects

☐ Historic Structures Report (HSR)

☐ Preservation Plan

☐ Update to an HSR or Preservation Plan

☐ Conditions Assessment

☐ National Register Nomination

☐ Architectural Plans, Designs, Specifications, or other Construction Documents

☐ Cost Estimates

☐ Archaeological Investigation

☐ Adaptive Reuse/Feasibility Study

☐ Master Plan for Rehabilitation

☐ Historic Research Report

☐ Materials Analysis

☐ Building Systems Analysis

☐ Engineering Report

☐ Landscape Report

☐ Disaster Management Plan

☐ Maintenance Plan

☐ ADA Accessibility Planning

☐ Strategic, Fundraising, or Endowment Planning

☐ Other:

Municipal, County, and Regional Planning Projects

☐ Architectural Survey

☐ Historic Preservation element to a municipal or county Master Plan

☐ Preparation or revision of a Local Historic Preservation Ordinance

☐ Design Guidelines

☐ Other

+Required if HSR, Preservation Plan, or Update to HSR/Preservation Plan: Will the document follow the guidelines set out in "Historic Structure Reports & Preservation Plans - A Preparation Guide"?

☐ Yes

☐ No

Note: To determine if your HSR or Preservation Plan meets our guidelines, consult the HSR & Preservation Plan Checklist. All checkboxes in bold are required items, depending on which type of plan you are doing. You should work with your consultant to determine what other pieces might be needed for your resource.

+Required if Municipal, County, and Regional Planning Project is selected: Have you reviewed New Jersey’s Certified Local Government Guidelines and the relevant sections of the state’s Municipal Land Use Law, and/or contacted the NJ HPO about what standards must be met in your planning project? Explain. (250 word max)

+Required if Municipal, County, and Regional Planning Project is selected: Does your municipality have a Historic Preservation Commission? Please describe whether it is advisory or Regulatory in nature. How many members are on the committee and how many vacancies exist? Does the committee have a dedicated staff member? (250 word max)

+Required if Architectural Survey is selected: Please provide a list of the property addresses that will be included as part of your proposed architectural survey. You must also attach a map showing the proposed survey area under Attachment D.

If you already have a consultant on board, you may attach the completed checklist as part of Attachment D on the USB drive.

Stage of the project (Please note for HSM grants there is no reimbursement for funds expended prior to the application deadline. Consult the Grant Guidelines for more information.):*

☐ Project not started yet

☐ Preliminary Scope of Work prepared

☐ Request for Proposal (RFP) for consultant services prepared

☐ Proposals submitted

☐ Consultant selected

☐ Consultant under contract and work underway

☐ Other:

+Required if consultant selected or under contract: Name of consulting firm, if one has been chosen:

Project start date:*

Number of months to submit initial work product:*

Number of months to submit final work product:*

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment D – Scope of Work):

If applicable, provide the following documentation in a folder labeled "Attachment D" on the USB drive:

1. HSR & Preservation Plan Checklist

2. Scope Statement (Preliminary Scope of Work, Requests For Proposals (RFPs), proposals received and/or selected, or written statement describing the scope of work and the professional qualifications that will be required)

3. Proposed fees and estimates

4. Resume/credentials of proposed and/or selected consultant team

5. For Municipal, County, and Regional Planning Projects only: list local Historic Preservation Commission members including name, title, and term expiration date.

6. For Architectural Surveys only: attach a map showing the proposed survey area

Project Budget

For Historic Site Management grants, “match expended,” meaning work that is completed prior to the application deadline of April 14, 2022, is not eligible for reimbursement.

Matching funds derived from other Corporate Business Tax (CBT) funded projects, or from special appropriations awarded by the Legislature, shall not be used as the matching share of project costs by nonprofit organizations or local government units. If Federal funds are used as a match, additional documentation may be required.

Provide an itemized list of proposed work items for this project and the cost for each item. (500 word max)*

Please enter all dollar amounts using the format $X,000.00 and round up to the nearest whole number, no cents.

Grant request:*

Total project cost:*

Minimum match requirement (divide the grant request by 3, round up to the nearest dollar):*

Match required to complete project (subtract grant request from total project cost):*

Applicants will be evaluated based on their ability to raise the match required to complete the project (the second number), not the minimum required match.

Amount of match already raised (cash in-hand):*

Remaining match needed (subtract match in-hand from match required to complete project):*

+If applicable, explain how you will raise the remaining matching funds. (500 word max)

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment E – Project Budget):

If applicable, include the following documentation in a folder labeled "Attachment E" on the USB drive:

1. Documentation of match in hand

Non-profit organizations must provide account statements or letters of funding commitment showing the amount of available funds

County or municipal government applicants must provide a governing body resolution committing specific matching funds

Organizational Ability

What is the size of your organization? Please break out into: staff, board, volunteers, and membership. (250 word max)*

Describe the mission of your organization and the audience it reaches. Explain the relationship of this proposed project to your mission and any planned program growth. (1000 word max)*

How are decisions made related to the preservation of the historic resource(s) in this application? (500 word max)*

How has the COVID-19 pandemic impacted your organization? (500 word max)*

Explain how you plan and budget for cyclical maintenance of the historic resource(s) included in this application. How will the resource be maintained once the funded work is completed? Who is responsible for supervising and performing the maintenance work? This question is not required for Municipal Planning Projects. (500 word max)*

For Municipal Planning Projects only: Explain how the proposed project will promote conscientious stewardship and maintenance of historic resources by private owners. What will be the role of stakeholder groups such as historical societies, homeowners associations, historic preservation commissions, civic associations, and/or main street organizations? (500 word max)*

How are you factoring climate change into your preservation efforts and into this project in particular? (500 word max)*

Have any staff, board, or volunteers attended the following professional development activities in the past 2 years? Check all that apply.

☐ NJ Historic Trust & NJ Historical Commission Best Practices Workshops
☐ NJ History & Historic Preservation Conference
☐ Historic Preservation Commission Trainings
☐ Continuing Education in Historic Preservation classes at Rutgers Camden (M.A.R.C.H)
List any other relevant professional development activities that staff, board, or volunteers have participated in within the last 2 years. (250 word max)

List any relevant examples of grants managed by the organization and/or project manager. Include the funding source, purpose of the grant, grant amount, award and completion dates, and the grant manager. (250 word max)*

Does your organization currently have any open grants with the New Jersey Historic Trust?*

☐ Yes

☐ No

+Required if yes: Explain the status of your open grants and how your organization has the capacity to manage more than one open grant at a time.

List any relevant examples of the organization’s experience working with consultants. Include the firm name, service provided, contract amount, project start and end date, and project manager. (250 word max)*

Provide the names of the people who will be managing this project, their relationship to the organization, and what their role in this project will be. (250 word max)*

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment F – Organizational Ability):

If applicable, include the following documentation in a folder labeled "Attachment F" on the USB drive:

1. Cyclical Maintenance Plan (not applicable for Municipal Planning Projects)

2. Resume/credentials of project manager/project team

3. Organization’s current year-to-date balance sheet showing income and expenses to date and past year’s summary balance sheet showing income and expenses (required for non-profit applicants only)

Public Access & Benefit

How will the project benefit the community? Who will benefit from the results? (500 word max)*

Is the resource or Municipal Planning Project located within a Certified Local Government (CLG) municipality? (List of CLGs)*

☐ Yes

☐ No

Is the resource, or any resource within the Municipal Planning Project area, included on Journey through Jersey? (Journey through Jersey sites)*

☐ Yes

☐ No

☐ Nomination Submitted

For the 2022 grant round, special consideration will be given to grant proposals that address the following themes:

The 250th Anniversary of the American Revolution. The United States Semiquincentennial will be celebrated in 2026 to commemorate the 250th anniversary of the nation and its victory in the American Revolution. Grant proposals that highlight sites involved in the American Revolution or that aim to promote New Jersey’s role in the Revolutionary War are encouraged.

Underrepresented Histories. In response to the nation’s recent reckoning with racial injustices, and in keeping with the New Jersey Comprehensive Statewide Historic Preservation Plan (2013), the New Jersey Historic Trust seeks to expand representation of marginalized groups and empower meaningful involvement of minority constituencies in the identification, preservation, and interpretation of historic resources. For the 2022 grant round, the Trust encourages applications demonstrating efforts and/or initiatives that consider and engage with underrepresented histories, such as Black history, civil rights history, disability history, indigenous history, Latinx history, LGBTQ+ history, or the history of any other marginalized group. To learn more about the initiative, click here.

Does your project address either of these themes? (check all that apply)

☐ 250th Anniversary of the American Revolution

☐ Underrepresented Histories

+Required if yes: Please explain how your project addresses one or both of the special initiatives. (250 word max)

State and Federal Initiatives – check all that apply. Click the links for more information and to see if your resource is part of the initiative.

☐ National Park Initiatives

☐ Scenic Byways

☐ Coastal Heritage Trail

☐ Women's Heritage Trail

☐ Delaware River Heritage Trail

☐ Federal Opportunity Zones

☐ Urban Enterprise Zone

☐ Transit Village

Is the proposed project considered a Municipal, County, or Regional Planning Project? This includes preparation of Design Guidelines; preparation or revision of a Local Historic Preservation Ordinance; preparation of a historic preservation element to a municipal or county Master Plan; or preparation of an architectural survey to identify historic properties.*

☐ Yes

☐ No

+If yes, skip to the section titled “Municipal Planning Projects Public Access and Benefit”

+If no, answer the immediately following questions

How is the resource currently interpreted to the public? Will the project address or improve public interpretation (brochures, signage, tours, etc.)? Will the project enhance participation in heritage tourism opportunities? Please explain. (500 word max)*

How will the project develop public participation in the organization’s programs and how will it increase awareness of the resource’s history and its relation to the surrounding community? (500 word max)*

NJHT is aware that the COVID-19 pandemic has greatly impacted access to New Jersey's historic sites. When answering the following questions, you have the option to use current visitation data or pre-pandemic visitation data. You will be able to specifically address how the pandemic has impacted your site's visitation in a later question.

For the following questions, will you be using current visitation data (2021-2022) or pre-pandemic visitation data (data collected prior to 2020)?*

☐ Current Visitation Data (2021-2022)

☐ Pre-pandemic visitation data (data collected prior to 2020)

Is the resource open to the public on a regular basis?*

☐ Yes

☐ No

+Required if no: Explain why not. (250 words max)*

Current hours of operation:*

Hours of operation once project is complete:*

Number of days/year site is open:*

Number of days/year open once project is complete:*

Number of visitors/year: *

Number of visitors/year expected once project is complete:*

Is there an entry fee?*

☐ Yes

☐ No

+Required if yes: What is the entry fee?*

How has the COVID-19 pandemic impacted your historic site? (500 word max)*

Is the resource ADA accessible? If so, to what extent? If not, why not? Will the proposed project improve ADA compliance and accessibility? Please explain. (500 word max)*

Are visitation numbers collected? If so, how? If not, why not? Is any other visitor information collected? If so, what? How is visitation data used? (500 word max)*

__________________________________________________________________________________

Required for Municipal Planning Projects Only: Municipal Planning Projects Public Access and Benefit

How will the project increase public participation in the organization’s historic preservation efforts and in the preservation planning process? How will it increase awareness of the community’s history and its relation to the region or state? (500 word max)*

Explain the level of community involvement and support the project has received thus far. Was the project idea initially developed by a government agency or by an external constituent group? (500 word max)*

Provide details of the applicant’s public outreach to the community regarding the proposed project. List dates of community meetings and approximate number of attendees. Meeting flyers, agendas, sign-in sheets, or meeting notes can be included as supporting documents demonstrating community support/engagement in Attachment G. (500 word max)*

The New Jersey Comprehensive Statewide Historic Preservation Plan (2013-2019) identifies the following six goals to guide historic preservation efforts in New Jersey:

Use historic preservation as a tool to strengthen and revitalize New Jersey’s state and local economies in a sustainable manner.

Demonstrate that historic places have economic value.

Expand understanding and appreciation of history and historic preservation among New Jersey citizens, elected officials, students, and organizations across the State.

Build a stronger, more cohesive and diverse preservation community.

Identify the authentic places that tell the stories of New Jersey’s historically diverse populations.

Increase stewardship and support to protect the authentic places that tell the stories of New Jerseyans.

Which of the above goals will be met by your proposed project and how? (500 word max)*

What advisory and/or educational programming does the applicant currently offer to private property owners to promote historic preservation best practices? (500 word max)*

___________________________________________________________________________________

ATTACHMENTS CHECKLIST FOR THIS SECTION (Attachment G – Community Support):

If applicable, include the following documentation in a folder labeled "Attachment G" on the USB drive:

1. Letters of Support

Letters of Support from people and/or groups that benefit from your resource and/or programming

Legislative Letters of Support

2. Documentation of community support/engagement such as press releases, news articles, flyers, programs, etc. This includes documentation that supports your efforts to participate in one or both of the 2022 special initiatives. For Municipal, County, and Regional Planning Projects, include public meeting agendas, sign-in sheets, any resolutions passed or adopted, etc.

Optional Questions

What is your organization's total anticipated monetary need over the next 5 years for capital projects and improvements to your historic resources? (Answering this question helps us to gauge future needs for budgeting purposes)

How many people in your organization (board members and/or staff) have a Discover NJ History license plate?

Supporting Documents Checklist - HSM

Below is a list of all supporting documents that should be included on your USB drive (note that some attachments are required while others may not apply to you). Please organize all supporting documents into corresponding folders labeled by Attachment. You must also include a table of contents that lists all documents included on the USB. Below is a checklist of all documents that should be included as well as a screenshot of how the documents should be organized.

Check off all the documents that you have included:

☐ Table of Contents

Attachment A – Applicant Information

☐ IRS 501(c) Determination Letter

☐ Applicant Assurances

☐ Governing Board Resolution

☐ None of the above

Attachment B – Owner Information

☐ Owner Assurances

☐ None of the above

Attachment C – Eligibility and Register Status

☐ Most recent nomination form or eligibility statement

☐ If the property is individually listed in the State or New Jersey Register of Historic Places, include a copy of the complete nomination form (not just the HPO list showing that your resource is listed in the State or National Registers). OR

☐ If the property is included in a historic district listing as contributing to the district, include all relevant pages of the nomination form. If the property is located in a historic district, but not specifically noted as contributing, submit all relevant pages and a letter from the State Historic Preservation Office (SHPO) certifying that it is a contributing resource. A certification letter must be requested from the SHPO at least 45 days before the application deadline. OR

☐ If the property is not listed in the State or New Jersey Register of Historic Places, include a letter from the State Historic Preservation Office (SHPO) certifying eligibility for listing of a site in the New Jersey Register, or certifying that a site listed in a historic district is a contributing property. A certification letter must be requested from the SPHO at least 45 days before the application deadline.

☐ For Municipal, County, and Regional Planning Projects only: attach any existing planning documents that demonstrate a commitment to historic preservation (Municipal and/or County Master Plan, local historic district ordinance, existing surveys, etc.)

☐ For Municipal, County, and Regional Planning Projects only: attach a map of the project area with the boundary clearly delineated

☐ None of the above

Attachment D – Scope of Work

☐ HSR & Preservation Plan Checklist

☐ Scope Statement (Preliminary Scope of Work, Requests For Proposals (RFPs), proposals received and/or selected, or written statement describing the scope of work and the professional qualifications that will be required)

☐ Proposed fees and estimates

☐ Resume/credentials of proposed and/or selected consultant team

☐ For Municipal, County, and Regional Planning Projects only: attach a list of Historic Preservation Commission members including name, title, and term expiration date. Include any vacancies.

☐ For Architectural Surveys only: attach a map showing the proposed survey area

☐ None of the above

Attachment E – Project Budget

☐ Documentation of match in-hand

☐ Non-profit organizations must provide account statements or letters of funding commitment showing the amount of available funds

☐ County or municipal government applicants must provide a governing body

resolution committing specific matching funds
☐ None of the above

Attachment F – Organizational Ability

☐ Cyclical Maintenance Plan (not applicable for MPP projects)

☐ Resume/Credentials of Project Manager/Project Team

☐ Organization’s current year-to-date balance sheet showing income and expenses to date and past year’s summary balance sheet showing income and expenses (required for non-profit applicants only) ☐ None of the above

Attachment G – Community Support

☐ Letters of Support

☐ Letters of Support from individuals/groups that benefit from your resource/programming

☐ Legislative Letters of Support

☐ Documentation of community support/engagement (press releases, news articles, flyers, programs, etc.) This includes documentation that supports your efforts to participate in one or both of the 2022 special initiatives. For Municipal, County, and Regional Planning Projects, include public meeting agendas, sign-in sheets, any resolutions passed or adopted, etc.

☐ None of the above

Attachment H – Photographs

☐ Labeled Photos and Photo Identification Sheet (photographs must be uploaded as JPEG files, not as PDFs)

☐ Photo Identification Sheet that identifies the included photos by number and briefly describes each photograph

☐ Photographs showing each elevation (i.e., north, south, east, and west) of the resource

☐ Photograph of the resource as a whole (i.e., an overall shot that shows the resource in its context or setting)

☐ Photographs of details that show areas of concern
☐ Any additional miscellaneous documents (including any completed research that supports the project request)

☐ None of the above

Sample Screenshot of how the USB Folders should be organized:

* please only label the attachment folders as shown below (Attachment A, Attachment B, etc.). Do not use additional information to label the Attachment folders.

Applicant Assurances*

(required)

The applicant certifies the following:

The filing of this application has been approved by the governing body of the applicant

The facts, figures, and information contained in this application, including all attachments, are true and correct

Matching funds are currently available, or will be available to complete this project within the required time frame.

Any funds received will be expended in accord with the terms and conditions of N.J.A.C 5:101 and the grant agreement to be executed with the New Jersey Historic Trust

The individual signing this agreement has been authorized by the organization to do so on its behalf, and by his/her signature binds the organization to the statements and representations contained in the application

f.	The organization agrees to abide by the time frame set forth in the grant guidelines.

Acting as duly authorized representative for the applicant organization, I am submitting this request for assistance from the New Jersey Historic Trust.

Signature of Individual	Date

Typed Name and Title :