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Farm Share Enrollment Form_2026

Thank you for being part of the Nourishing the North Shore Farm SHARE program and for taking the time to complete this form. To continue developing, improving, and securing funding for this program, we must have a clear understanding of who participates and how our services benefit the communities we serve.

The information collected will be used solely for internal NNS decision-making purposes.

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Email *
Which town is your primary residence? *
What is your primary language? *
Employment Status  *
Is anyone in your household living with a disability? *
Required
Please indicate your household's annual income here 
$15,650
21,150
26,650
32,150
37,650
43,150
48,650
54,150
Household annual income 1
Household annual income 2
Household annual income 3
Household annual income 4
Household annual income 5
Household annual income 6
Household annual income 7
Household annual income 8
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Do you or anyone in your household participate in the following? Check all that apply (If you need more info on any of the below programs, please reach out to NNS staff) *
Required
Are you a single parent *
Do you have secure housing? *
Please list how you identify *
Required
Number of Household individuals  *
How many people under 18 are in your household  *
How many people above 18-65 are living in your household? 

 *
How many people above 65 are living in your household?
 *
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