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
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DD
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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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