Capital Needs Survey
Preservation Grant Program

The goal of this survey is to identify current and future capital needs for New Jersey's historic sites that are in non-profit or government ownership.
If you have any questions regarding this form please call the NJ Historic Trust at (609) 984-0473

A separate form should be completed for each historic site.

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form.

If your organization has multiple historic sites, a seperate account for each site should be created.

Organization

* Name of Organization

* Street Address

Address Line 2

* City

* State

* Zip Code

* Contact Name

* Phone Number

* Email address

* Organization is:

agency of state government	agency of county government	agency of municipal government
nonprofit organization (501c3)	friends group/ interested party

* Indicates Response Required