Join the Seeds of Hope Farm CSA (Community Supported Agriculture), a project of the Community Action Agency of St. Louis County, Inc. (CAASTLC)
Please note: Your application may be placed on a short waitlist. If so, CAASTLC staff will call to let you know.
Email address *
Last name *
Your answer
First Name *
Your answer
Please check each box below to indicate you understand how our program works. *
Check all that apply.
Required
Low-income applicants, see if you qualify for a discount. How many members are in your household?
You qualify for a 40% discount if your monthly household income is at or below 125% of the federal poverty level.
Please choose your membership type: *
ALL MEMBERS: Please confirm the number of people in your household.
We want to know how many people our farm serves.
Your answer
Your Address: Street and # *
Your answer
Your Zip Code *
Your answer
Phone # *
Your answer
SPONSOR applicants: I choose to receive a share
LOW-INCOME applicants:
Please check the below guideline to indicate you agree to it.
LOW-INCOME applicants:
You will have the option of ordering shares throughout the season. About how often do you expect to pick up?
Where would you like to pick-up your share on Thursdays? *
Please check each member guideline to indicate you agree to it. *
We put a lot of attention and effort into creating your farm shares for you. Please pick up on schedule or, if you will be unable to pick up, please ask someone else to help out and pick up for you.
Required
Do you or any of your relatives work at CAASTLC, Inc.? *
A “relative” is defined as any person who is related by blood or marriage (husband, wife, father, mother, brother, sister, daughter, son, grandfather, grandmother, in-laws or "significant others") to an employee or whose relationship with the employee is similar to that of persons who are related by blood or marriage.
Required
If you answered that you are an employee or a relative of an employee please specify your position at CAASTLC or relationship to CAASTLC employee.
Your answer
Waiver and Release *
Required
Sponsor applicants ONLY: How would you like to pay?
Please submit payment within one week of application to confirm your membership. Shares are limited in availability. PLEASE NOTE: Sponsors applying to join during the CSA term will be contacted and advised the amount due.
$672.00 lump sum (due with application)
Three installments of $224 each (due with application, then 6/29/19 and 8/17/19)
Sponsor Weekly Share (24 farm shares)
$336.00 lump sum (due with application)
Three installments of $112.00 each (due with application, then 6/29/19 and 8/17/19)
Sponsor Bi-Weekly Share (12 farm shares)
Mail a check to CAASTLC, 2709 Woodson Rd., Overland, MO, 63114 ATTN: Seeds of Hope
Method of Payment
How did you hear about us? *
Please be specific. Online, flyer at church, friend, etc.
Your answer
This program is funded 77% at $128,051 by federal funds and 23% at $38,249 by nongovernmental sources for a total amount of $166,300. The federal funds are received from the U.S. Department of Health and Human Services (HHS) provided by the Missouri Department of Social Services, Family Support Division.
Please add any comments or questions here.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.