NOFA-VT Farm Share Program
Summer 2017 Participant Application
Email address
Applications Accepted: March 1 - June 1
Submitting an application does not guarantee that you will receive funding to support the cost of your CSA share. After submitting an application, you will be notified by Michael Good (NOFA-VT) of the status of your application in approximately 4 weeks. If your application is approved, you will receive further instructions for coordinating payment of your 50% cost responsibility and getting set up tor receive your CSA share. Payment will be made directly to the CSA farm.

There is a $600 limit to the share size that Farm Share can support. You are welcome to get a share larger than this amount, but you will not receive additional cost support. In other words, the maximum cost support you can receive from NOFA-VT and the CSA farm is up to $300.

BASIC INFORMATION
Your application will not be reviewed if it is incomplete. Please answer all questions completely before submitting. If it does not apply to you (i.e. you do not have an email address), write "N/A".
FIRST Name
Your answer
LAST Name
Your answer
Street Address
Your answer
City
Your answer
State
Zip
Your answer
Email (e.g. myname@gmail.com)
Your answer
Phone (e.g. 802-555-5555)
Your answer
Household Size (including yourself)
Ages of People in Your Household (Including Yourself)
Your answer
INCOME ELIGIBILITY
To be eligible to participate in the NOFA-VT Farm Share Program, your household's income may not exceed the following income limits:
1-Person Household: $1,860 (monthly) | $429 (weekly)
2-Person Household: $2,504 (monthly) | $578 (weekly)
3-Person Household: $3,148 (monthly) | $726 (weekly)
4-Person Household: $3,793 (monthly) | $875 (weekly)
5-Person Household: $4,437 (monthly) | $1,024 (weekly)
6-Person Household: $5,082 (monthly) | $1,173 (weekly)
7-Person Household: $5,726 (monthly) | $1,321 (weekly)
8-Person Household: $6,370 (monthly) | $1,470 (weekly)
Does your household make less than the maximum allowed monthly income listed above?
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