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Applicant Organization Name: *

Project Contact Person Name: *

Email: *

Phone: *

Applicant Organization Physical Address: *

Applicant Organization Mailing Address:

Your Community Garden Project Name: *

Address of Community Garden Location: *

Estimated Number of Beneficiaries of your Garden: *

Is the Garden Location within City Limits? *

Have you Received a USDA Grant for Community Gardens within the last 2 years? *

Will there be an On-Sight Garden Leader/Assistant assigned to ensure that Critical Garden tasks are completed timely? *

Does your organization own the land where the Community Garden will be located? *

Yes
No (If no, CRC will need a copy of the lease or a letter stating that your organization will have access to the garden for the duration of the agreement.)

List Local Community Partners and their role with your community garden project.

Name of Partners and Contribution Role to the project *

2 letters of support from Partners *

Note: Acquire at least 2 letters of support from partners to be submitted with application packet.

Brief Description of Organizations Background *

Identify your organization’s objectives and anticipated outcomes: *

Briefly describe the beneficiaries of the community garden *

Briefly explain how you plan to sustain the community garden beyond the funding year *

Name and contact information of University Extension Service partner representative *

Include your Community Garden supply budget with your application packet *

Date of signature *

Applicant Chairperson or Approved Representative Signature *

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