THE WILLIAM P. WHARTON TRUST
Choate Hall & Stewart LLP
Email: williampwhartontrust@choate.com

PRELIMINARY GRANT APPLICATION DUE MARCH 1/SEPTEMBER 15
Please set forth all requested information in the spaces provided on this form.

Applicant:
Contact Person:  Telephone:
Address
Address 2
City   State   Zip  Amount Requested $
Email Address:  Tax ID No.:
Brief description of your organization (not necessary if you have previously received a Wharton grant; maximum of 500 characters, including spaces - approximately 5 lines in a Word document):

Brief description of the project (need for project - maximum of 800 characters, including spaces (approximately 8 lines in a Word document); and a map or photograph for land to be preserved):

FILE TO UPLOAD:

Budget for the Project (maximum of 500 characters, including spaces):

Upon submission, you will receive a screen acknowledgement. Please print the page for your records.