San Francisco Japantown Task Force



Place:  (Name of program/site/event)

Address:   (Address)



<                                                          Photographs                                                                             >

(Please attach any relevant photos you may have.  If none are available, we will take the photos ourselves)



Visual Description: 

(Include a brief physical description of the program/site/event)




(List any information about the program/site/event that might be of historical significance)





(Please list all that apply: Cultural, Social, Educational, Historical)

Recognition of Significance: 

(If applicable, include when/where the item was recognized, any newspapers/publications it was mentioned in, and any awards it received)

Sources:  (Place your name here, as well as anyone consulted)

Other Comments: 


(List any other information that defines the significance of the program/site/event being described)


Prepared By: (Place your name here)                   Date Prepared: (date)