Advocates for Urban Agriculture Water Access Technical Assistance Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Advocates for Urban Agriculture Water Access Technical Assistance Form

for Individuals, Community Gardens, Businesses, Non-profits, Urban Farms, and Rural Farms

None of your answers here will be shared outside of Advocates for Urban Agriculture

Email *

What is your name?

What is the name of the individual, business, non-profit, or organization seeking assistance? *

Do you have permission to operate on the land where you are seeking water access? *

Yes, I own the land.

Yes, I have permission from the land owner in writing (lease, MOU).

Yes, I have permission to be on City of Chicago land in the form of a Right Of Entry.

Yes, I have permission to be on City of Chicago land in the form of a lease.

Yes, I am affiliated with a business or non-profit (i.e. Neighborspace, Urban Grower's Collective, etc.).

I don't know, and I need help figuring this out. I will sign up for office hours.

Other:

How will you use water on your operation? *

Irrigation

Harvest

Sanitation

Drinking

Worker hygiene

Other:

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Advocates for Urban Agriculture.

Does this form look suspicious? Report