City of Portland Community Gardens Waitlist Form

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

By filling out this form, you will be put on a waitlist to receive an individual plot (most gardens) or a spot in the communal garden share at Common Share Community Garden. Most applicants wait 1-3 years to receive a plot. You will be asked to reconfirm your interest annually each winter by filling out this form again and updating your contact information and garden selections. Please note that these plots are only for City of Portland residents.

Email *

What is your first name? *

What is your last name? *

What is your street address? *

What is your zip code? *

What is your phone number? *

If you do not check email frequently and prefer a phone call, please check the box below. Keep in mind that for Cultivating Community, contact by email is easiest given the sheer number of individuals on the waitlist, so please check this box only if really necessary.

I prefer a phone call.

Please indicate your preferred language below. *

Cultivating Community and the City of Portland recognize that growing food in a garden plot can increase food security, especially for low-income or food insecure households. If you self-identify as low-income or feel that the plot fee ($65) is a barrier to receiving a garden plot, please indicate so below. *

I identify as low-income. The standard garden plot fee would be a barrier for me in obtaining a garden plot.

I am able to pay the standard garden plot fee.

Required

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Cultivating Community.