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Grow Food Grow Hope Garden Application
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Total # household members
Your answer
Birth date of applicant
MM
/
DD
/
YYYY
How many additional adults will be sharing your membership?
Your answer
How many children will be sharing your membership?
Your answer
Please include the names and ages of those who will be sharing your gardening and working with you each week.
Your answer
Because Grow Food Grow Hope seeks to provide a service to those who need assistance we collect information which assists us in providing evidence for our services. We know that some of this information is personal. Your information is kept secure and confidential and will only be used as evidence as we seek additional funding.
Are you (or any member of your family) currently employed full time
Are you (or any member of your family) currently unemployed due to layoff or furlough
Do you and the members of your family currently receive SNAP assistance (Formerly Food Stamps)
Are you (or a member of your family) an active or former member of our Military Service
Are you retired
Please select your preference for our weekly garden meting
Each community garden membership has the potential to provide our members with enough produce to save $1,000 each year. At this time we do not require you to purchase your membership. However, we would like to ask you to make a pledge to our program. You will find a few options below. Please take some time to consider all of the options. And thank you for your support.
Garden Night Food Demo
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