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MCR20-040 11/20

Certified Historical Institutions | Tier 1

APPLICATION FOR TIER 1 CERTIFICATION

Date___________________________________________

Please refer to Guidelines for details of requirements and benets of each.

Section I: ABOUT YOUR ORGANIZATION

Name of Organization _______________________________________________________________________________

Mailing Address ____________________________________________________________________________________

City _________________________________________________________________ ZIP Code ____________________

Physical Address ____________________________________________________________________________________

City _________________________________________________________________ ZIP Code ____________________

Phone _________________________________________ Email _____________________________________________

Contact Person _____________________________________________________________________________________

Contact Phone _______________________________ Contact Email ________________________________________

Alternate Contact ___________________________________________________________________________________

Phone _________________________________________ Email: _____________________________________________

Section II: QUALIFYING QUESTIONS:

AHS Support

Does your museum/historical organization hold an active Arizona Historical Society (AHS) membership at the

Institutional or higher level? (Required for certication.) YES NO

Public Trust and Accountability

Does your organization comply with local, state and federal laws, codes and regulations applicable to its

facilities, operations and administration? YES NO

Is your organization committed to public accountability and is it transparent in its mission

and operations? YES NO

Does your organization identify the communities it serves, and does it make appropriate decisions on how it

serves them? YES NO

Mission and Planning

Does your organization have a clear understanding of its mission and communicates why it exists and who

benets as a result of its efforts? YES NO

Is your organization guided by a mission statement that clearly describes the purpose of the organization, and

a vision statement that clearly describes the organization’s future direction? YES NO

MCR20-040 11/20

Leadership and Organizational Structure

Is your organization a Non-Prot 501c3? YES NO

Is your organization a Sovereign Nation? YES NO

Does your organization have a governing structure, including by-laws, articles of incorporation,

and a board of directors/trustees? YES NO

Does your organization conduct business meetings and hold elections on a regularly

scheduled basis? YES NO

How often are business meetings held? ____________ How often are elections held?____________

Do the governance, staff and volunteer (as applicable) structures and processes effectively advance the

organization’s mission? YES NO

Does your organization have volunteers that support the organization? YES NO

Does your organization have a membership program that supports the organization? YES NO

How many active members do you currently have? ____________

Collections Stewardship

Is your organization a collecting institution? YES NO

Are your collections appropriate to your mission? YES NO

How do you ensure the preservation of your collections? Describe ________________________________________

____________________________________________________________________________________________________

How does your organization provide public access to your collections? (Exhibits, online access, etc. )

Describe ____________________________________________________________________________________________

____________________________________________________________________________________________________

Are your exhibits used and displayed in ways that are appropriate to your mission? YES NO

Education and Interpretation

Does your organization offer educational and public programs, special events and other activities that are tied

to your mission? YES NO

Please describe examples of programs/events. (You may also include iers of past or upcoming programs.)

____________________________________________________________________________________________________

Does your organization present accurate, appropriate, and unbiased content for each

of its audiences? YES NO

A minimum of 416 hours per year open to the public are required for Tier 1 certication. How many hours per

year is your organization open to the public? ____________

How many hours of programming does your organization provide to the public per year?____________

Does your organization meet the following requirements?

• The organization clearly states its overall educational goals, philosophy and messages, and demonstrates that its

activities are in alignment with them. YES NO

• The organization provides regular audience engagement that promotes the value of history? YES NO

• The organization facilitates scholarly research. YES NO

• Organizations conducting primary research do so according to scholarly standards. YES NO

Certified Historical Institutions | Tier 1, cont.

MCR20-040 11/20

Financial Stability

Does your organization legally, ethically and responsibly acquire, manage and allocate its nancial resources

in a way that advances its mission? YES NO

Facilities and Risk Management

Is your organization’s facility clean, well-maintained and provides for the safety and

needs of your visitors? YES NO

Does your organization allocate its space and use its facilities to meet the needs of

the collections, audience and staff? YES NO

For promotional and reference purposes, please share a few pictures of your facility. (No more than four pictures, please.)

Attachments required

• Organization’s mission statement

• Organization’s vision statement

• 501c3 IRS letter, OR Sovereign Nation

designation documentation

• Roster of current board of directors/trustees

(Names only)

• Examples of mission-driven public education and/

or special events

• 2—4 pictures of museum; one exterior; and

2—3 exhibit or program/event photos

I hereby afrm that the above information is true and correct.

Name _____________________________________________________________________________________________

Title _______________________________________________________________________________________________

(President or Director required.)

Signature __________________________________________________________________________________________

Date _____________________________________________

Email completed form to: certied@azhs.gov

Or mail to: Arizona Historical Society | 949 E. 2nd St. | Tucson, AZ 85719

NOTE: We prefer applications be submitted via email, however we will accept mailed applications for the

application period. Beyond 2021, we can no longer accept mailed applications. Do not send via certied mail,

as this will delay receipt.

Certified Historical Institutions | Tier 1, cont.

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