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PLT/A Application

Please provide the following information when applying:

FORUM membership number (personal or sponsoring organization/agency)

Personal Data

• Name
• Mailing Address
• Telephone
• Fax Number
• E-mail Address
• Education (schools attended, major fields of study, degrees)
• Previous PLT, PLT/A, or National Main Street Center training attended
• Resume, including preservation related paid work and/or volunteer experience.

Organizational Data

• Sponsoring Organization/Agency
• Year established:
• Number of members:
• Provide your title (e.g., executive director, president-elect) and describe your organizational role
• Is your organization/agency…? (pick one)
  Statewide nonprofit / Local nonprofit / Local preservation commission / State historic preservation officer / Local government / Other
• A limited number of scholarships are available to ensure the cultural diversity of participants. If your participation depends on financial assistance, please explain this need and how your participation will enhance the diversity of the preservation movement.

For PLT/A: Real Estate Feasibility Studies or
       PLT/A: Real Estate, Design & Advocacy

Please attach a brief essay explaining in 250 words or less why you wish to attend the PLT/A and what you hope to accomplish. Include an assessment of your level of experience in real estate development and describe the project or types of projects your sponsoring organization or agency would be likely to undertake.

For PLT/A: Organizational Excellence only

Please attach a brief essay with your application describing in 250 words or less a management challenge currently facing your organization.

Applications may be submitted by e-mail, fax or mail to:

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