Online Forms

Community Garden Scholarship Application

2. Eligibility Criteria
   We can offer scholarship assistance to gardeners with limited incomes.
   
   Families that are at or below 185% of the federal poverty line may receive a 75% discount on their plot fee.
   
   Please fill out the online scholarship form. Staff will review your request and will notify you by email. The information requested below is confidential and necessary to track the assistance we are providing for each applicant.
6. First Name*
7. Last Name*
9. Address Contact
11. City
12. State Name
13. ZIP
15. Email*
16. Phone*
17. Extension
21. Co-Gardener Contact Information (optional)
23. Co-Gardener First Name
24. Co-Gardener Last Name
26. Co-Gardener Email
30. Have you been assigned a plot?*

    1. Yes
    2. No
    3. Unsure
32. Plot Location (if assigned)
    -- Select One --Alton Baker GardenAmazon GardenMathews GardenRiver House GardenSkinner City FarmWhiteaker Garden
33. Plot Size (if assigned)
    -- Select One --Raised Bed - 12'x4', $25Half Plot - 300 square feet, $60Full Plot - 600 square feet, $100
37. Number of Adults in Household*
38. Number of Children in Household*
40. Total Yearly Household Income*
    Include child support if applicable.
42. Thank you!
    Please submit only one Community Garden Scholarship Application. If you have questions or would like to update a previously submitted form, please contact our Community Gardens Coordinator at dklinkebiel@eugene-or.gov or 541-510-9318.
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field