CLG Scholarship Application

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2021 NY STATEWIDE PRESERVATION CONFERENCE
NOTE: You must be a staff member of or serve on a municipal board (ZBA, Preservation Commission, etc) for a Certified Local Government (CLG) community in NYS in order to be eligible to apply. Scholarships cover the cost of Conference registration.

Email *

Full Name *

Phone Number *

Mailing Address *

Are you a staff member for a NYS municipality or do you sit on a municipal board? *

Municipal staff person

I sit on a Zoning Board of Appeals (ZBA)

I sit on a Planning Commission/Board

I sit on a Historic Preservation Commission/Board

I am an elected official (Mayor, Supervisor, City Council, Town/Village Board, etc)

Other:

Is your community a Certified Local Government (CLG)? *

If you aren't sure, please refer to the NY SHPO website for a list of CLGs: https://parks.ny.gov/shpo/certified-local-governments/listing.aspx

Yes

Name of CLG that you represent *

Your position/title

Have you attended the NY Statewide Preservation Conference before? *

Yes

Have you received a scholarship to attend the Conference in the past? *

Yes

How will attending the Conference help you perform your duties? *

How do you plan to use the knowledge gained at the Conference to benefit your community? *

What do you most hope to learn at the Conference? *

Submit

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