| Application for Endorsement Andrew Johnson Bicentennial 
 Complete this form for projects/programs to be considered for Steering Committee endorsement. Email is the preferred method of receipt - please name your file according to the project’s title or organization name and email to anita_clark@nps.gov. 
 I. Project Title:
 II. Organization:Contact: 
 Address: 
 City: 
 State: 
 Zip: 
 Telephone: 
 Email: 
 Website: 
 III. Type of Applicant 
 Non-profit____ 
 Government/Municipal____ 
 Educational____ 
 Other__________ 
 IV. Is Your Proposal a For-profit Venture?
 Yes 
 No 
 V. List Your Target Audience(s)
 VI. Implementation Date From 
 _______________ To ________________ 
 VII. Please check all of the Andrew Johnson Bicentennial goals that this project satisfies: 
 __ Increasing knowledge and awareness of Andrew Johnson in the US and abroad 
 __ Encouraging public participation and attendance at bicentennial activities and institutions 
 __ Increasing historical literacy about Andrew Johnson for young people 
 __ Encouraging research, scholarship, and increased understanding of Andrew Johnson. 
 __ Creating a lasting legacy of Andrew Johnson themes and contributions to endure beyond the bicentennial 
 Please answer the following on a separate sheet: 
 1. Provide a project description in 250 words or less, including a description of how the project meets the goals checked in question VII. 
 2. Explain how an endorsement from the Steering Committee will benefit your project. 
 Please attach letters of support from partners if applicable. | 
Last updated: April 14, 2015
 
