Medicine Garden Application

Your Name*

Email address*

Your phone number*

The project name*

Your address*

Website address: (if you have one)

What is the name of your current or planned community medicine garden?

If already established, how long for?*

Who is the land owned by?

Who rents the land?

How long is the lease for?

What is the structure of the organisation?*

How long has this organisation been in effect?

Who has access to the garden?*

How many people have access to the garden?

Is there or will there be information about the plant medicine?*

Do you have a community group bank account?*

Are you willing to fill in a survey about how many people are impacted by your garden, at the start of the grant release and again after 1 year?*

Upload one or two Project Photos (optional)

Please write a 200 word summary of your project:*