Luther CSA Rebates: 2025 Season
All faculty and staff wishing to participate in the CSA reimbursement program are encouraged to complete this form by April 18th. Before completing this form, please purchase your preferred CSA share (options available on the sustainability website).  

No need to submit a payment voucher or receipts. Reimbursements will be paid with your paycheck in the fall, so long as the producer has been paid in full.  Employees must be at least 0.75 FTE, and must continue to be a Luther employee until at least the time when reimbursement is made in an October, November or December paycheck. As it is considered a benefit of employment, the CSA reimbursement will be taxed.

In addition to the vegetables, another benefit of this program is providing educational and food preparation events. Information about activities will be sent by email to participants.

If you have any questions, please email sustainability@luther.edu. Thank you for participating in this program.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Employee ID Number *
Phone Number (xxx) xxx-xxxx
Have you ever purchased a CSA share before? *
Is this your first time participating in Luther's CSA Rebate Program? * *
If you answered "yes" to the above question, why had you not participated before?
Which share(s) did you purchase?
Click as many as apply. You may sign up for full or half shares from as many farms as you wish. Your maximum reimbursement amount remains $100, however. Shares must be purchased prior to completing this form. If the share you purchased isn't displayed as an option here, please check the "other" box and fill in your share provider and amount.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Luther College Norse Apps.

Does this form look suspicious? Report