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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?*
Community group
Social enterprise
Charity
Sole trader
Other
How long has this organisation been in effect?
Who has access to the garden?*
Local Community
Schools
Others
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?*
Yes
No
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?*
Yes
No
Upload one or two Project Photos (optional)
Please write a 200 word summary of your project:*