First Name:
Last Name:
Street Address:
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email:

What category or categories best describe your interest in preserving this site?
American History African-American Education Leadership by American Women
Local History Faith/Spiritual Future Use Surrounding Land Architectural

What one category is your main area of interest?
American History African-American Education Leadership by American Women
Local History Faith/Spiritual Future Use Surrounding Land Architectural

Do you have another area of interest? If so please describe this interest. (limit to 250 characters)

Can we contact you with regard to your interest in the preservation?
Yes No

Are you interested in becoming a member of Katharine's Foundation?
Yes No

The following responses are optional

Are you a member of any community groups which may be interested in this preservation?

In what way(s) would you consider becoming more involved in this project?
Organizational Financial Support Gifts in kind Volunteer