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:*