SSNHA 2026 Internship Program Award Application

Silos & Smokestacks National Heritage Area 2026 Internship Program Award Application (If you wish to save and continue later, please fill out this page and proceed to page 2 to find the save feature.)

1. Intern Project Name *This question is required.

2. Project Description (Please describe your project in one sentence): *This question is required.

3. Intern position/project falls into the following type of activity. (Check those that apply) *This question is required.

Graphic Design
Educational Programs
Agriculture
Conservation
Preservation
Marketing/Communications
Interpretation
Other Please enter an 'other' value for this selection.

4. SSNHA Heritage Site Information

Name of SSNHA Heritage Site Applicant

Site’s Federal I.D. Number

Applicant’s Mailing Address

Applicant’s City, State, Zip

Applicant’s Primary Contact Person

Applicant’s Primary Phone

Applicant’s Primary Email

Applicant's Secondary Contact Person

Secondary Contact's Phone

Secondary Contact's Email

5. What is the budget for the proposed intern project (Please provide a breakdown in detail of figures entered below) *This question is required.

Amount Requested (maximum $3,000)

Amount of Cash Match (must be at least 25% of the request; additional match is acceptable/good)

Value of In-Kind Support (must be at least 75% of the request)

Total Intern Project Budget

6. Please fill out the budget form here, Download and save to your computer through Google Docs. (You do not need an account to do this) Then upload completed document to the application.

File: {{filename}} delete

7. Please submit Letter documenting Applicant’s match funding

File: {{filename}} delete

8. Applicant Organization and Signature *This question is required.

Organization and Title

Applicant's Signature

Clear

Signature of

Date This question requires a valid date format of MM/DD/YYYY.

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