Grant Submission Form

National Heritage Areas are a program within the National Park Service. The Muscle Shoals National Heritage Area, which operates under the University of North Alabama, was designated by Congress in 2009 to preserve history & culture in the northwest Alabama counties connected to the Muscle Shoals stretch of the Tennessee River: Colbert, Franklin, Lauderdale, Lawrence, Limestone & Morgan. We work on projects connected to the preservation and interpretation of natural, cultural and historical resources in our six counties. The three themes the MSNHA focuses on are the Tennessee River, Music, and Native American Heritage.

Grants are reimbursable in amounts of $1,000 to $7,500. Grants require a 1:1 match.

Grant applications must be received 90 days before the event/program/project start date.

I. Contact Information

*Note: Organization and the project must be located within the MSNHA (Colbert, Franklin, Lauderdale, Limestone, Lawrence, and Morgan)

Name of organization:

Name of primary contact:

Email address of primary contact:

Phone number of primary contact:

Physical address of organization:

II. Type of Organization

*Note: Individuals are not eligible to apply for grants.

Not for profit organization

Local business

School (primary, secondary, college/university)

City/county government

Tourism Office/Chamber of Commerce

Other

III. Type of Project

Museum and Archival Collection Assessment - Hiring a consultant to address preservation needs or problems such as establishing environmental monitoring programs and developing plans for improving environmental conditions, security, or fire protection for museum or archival collections

IV. What MSNHA theme (or themes) is your project connected to?

The Tennessee River

Music

Native American Heritage

I'm not sure

V. Grant Project
Description of grant project (300 word max)

Start date:

End date:

*Note: Please note that expenses paid for before or after these dates cannot count as match or be reimbursed. MSNHA grant projects have a maximum project period of one year.

Grant Budget:

*Note: Upload completed budget spreadsheet (pdf only). Download form here.
Please reference the sample sheet .

**Note: Applicants must provide at least a dollar-for-dollar match; we encourage overmatch (anything over the dollar-for-dollar match). Match & overmatch must be from non-federal sources: foundation or private-sector grants, the applicant organization, project partners, in-kind non-cash contributions from professionals and/or volunteers ($25.25/hour, $12.50/hour students participating as part of an enrolled-course assignment, verified hourly rate for professionals) or any combination thereof. In-kind contributions may be labor, services, materials, equipment, supplies, and/or travel expenses necessary for project objectives. Purchases of real property, overhead & general administrative costs don't count toward matches. Matching & overmatching contributions must begin after grant's award date.

VI. Required additional uploads (PDF only)

1. Vendors quotes for any expenses to be reimbursed or expenses used as match:
(Note: You can choose multiple documents)
To attach multiple files, please hold Ctrl and left click on all files you want to include. All files must be uploaded at one time.

2. IRS W9: Download form here

3. Signed & notarized copy of State of Alabama Disclosure Statement, if project budget exceeds $5000. Also mail original, with clearly legible notary's seal, to MSNHA:
Download form here

4. Copy of IRS determination letter indicating 501(c)(3) tax-exempt status if applicable:

5. Letter signed by your organization's financial officer or authorized representative verifying amounts and sources of the one-to-one matching funds:

6. Conflict of Interest form signed by authorized signatory for your organization.
Download form here

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