Opportunity Gardens Application 2024

Thank you for your interest in Opportunity Gardens!

The following application will determine your eligibility, based on:

You are committed to being in the three-year program
Your address is in Columbia, Missouri
If you rent, your landlord will allow a garden
Your household meets the income requirements for Free/Reduced Lunch

It will also collect information about your household, household's special needs and goals, languages spoken, and other services you use to help us better support you and your family. Everyone is welcome to apply, but priority is given to households with children aged 19 and younger.

If you have any questions about the application or would like a paper application mailed to you please call or text us 573-529-2756.

We look forward to the opportunity to garden with you!

Household Eligibility:

Question Title

* 1. Please provide your contact information

Your Name *

Address (where your garden will be installed) *

Apartment (optional)

City *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. Please provide a back up Phone Number
(Please include area code. Example: 573-555-5555)

Question Title

* 3. Do you live in Columbia Public Housing?

Yes

Question Title

* 4. RENTERS: Have you discussed a garden with your landlord?
(Before we install a new garden, your landlord must sign a document that we will provide. This is not negotiable.)

Yes.

No, not yet.

I am not a renter.

Question Title

* 5. Annual Gross Household Income
(This is income BEFORE taxes and deductions are taken out.)

Question Title

* 6. Monthly Gross Household Income
(This is income BEFORE taxes and deductions are taken out.)

Question Title

* 7. Do you or anyone in your family qualify for the following?
(Please select all that apply)

WIC (Supplemental Nutrition Program for Women, Infants, and Children)

Free/Reduced Lunch

EBT/SNAP (formerly known as Food Stamps)

Medicaid

Medicare

Disability

Social Security

I don't know

I don't qualify for any of these programs

Question Title

* 8. Including yourself, how many people eat regularly in your household?
(You will be asked to provide basic information about each person on the next page)

Opportunity Gardens Application 2024

Question Title

* 1. Please provide your contact information

Question Title

* 2. Please provide a back up Phone Number (Please include area code. Example: 573-555-5555)

Question Title

* 3. Do you live in Columbia Public Housing?

Question Title

* 4. RENTERS: Have you discussed a garden with your landlord?(Before we install a new garden, your landlord must sign a document that we will provide. This is not negotiable.)

Question Title

* 5. Annual Gross Household Income (This is income BEFORE taxes and deductions are taken out.)

Question Title

* 6. Monthly Gross Household Income (This is income BEFORE taxes and deductions are taken out.)

Question Title

* 7. Do you or anyone in your family qualify for the following?(Please select all that apply)

Question Title

* 8. Including yourself, how many people eat regularly in your household?(You will be asked to provide basic information about each person on the next page)

* 2. Please provide a back up Phone Number
(Please include area code. Example: 573-555-5555)

* 4. RENTERS: Have you discussed a garden with your landlord?
(Before we install a new garden, your landlord must sign a document that we will provide. This is not negotiable.)

* 5. Annual Gross Household Income
(This is income BEFORE taxes and deductions are taken out.)

* 6. Monthly Gross Household Income
(This is income BEFORE taxes and deductions are taken out.)

* 7. Do you or anyone in your family qualify for the following?
(Please select all that apply)

* 8. Including yourself, how many people eat regularly in your household?
(You will be asked to provide basic information about each person on the next page)