Community Agency Garden Application

 
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1. Contact Name
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2. Contact E-mail
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3. Contact Phone Number
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4. Address of the Garden
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5. How many people will be affected by this garden
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6. How many low income or at risk individuals will be served by this garden (at risk individuals are youth under age 18, retired people over the age of 65, and individuals with physical, emotional or mental needs)
7. How will your garden increase access to fresh food and produce
8. How will your garden raise awareness to the benefit of local food production
9. How will your garden increase self sustainability in daily food habits
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10. I CERTIFY THAT ALL INFORMATION STATED IN THIS APPLICATION IS TRUE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE GROW FOOD GROW HOPE TO VERIFY THE INFORMATION PROVIDED.

PLEASE VERIFY THIS APPLICATION BY TYPING YOUR NAME BELOW.
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