First Name: Last Name: Email Address: Phone: Street Address: City: State: Zip: Which community/region will your Backyard Harvest chapter serve? Briefly tell us why you or your organization is interested in sharing locally grown food resources? Which programs would you like to focus on your first year? (Check all that apply):
Gleaning residential fruit trees
Gathering surplus produce from backyard vegetable gardens
Collecting surplus produce from farmers markets
Reclaiming underutilized plots of land and transforming them into vegetable gardens and orchards
Establish a free produce stand that travels to area food banks and meal programs

Please list any groups within your community that might partner with a local Backyard Harvest Chapter (food banks, meal programs, local farms, farmers markets, etc) Please list the people resources that might be interested in helping you to start a chapter (potential board members and their skill sets, volunteer pools, etc) How to you intend to secure liability insurance to cover your Backyard Harvest related activities?
Form a non-profit corporation
Form a fiscal partnership with an existing non-profit
Not sure. Please send me additional information.

When would be a good time for us to contact you for an opening question/answer session? Please list date, time/time zone, and phone number. We will contact you to confirm via email. Extra Comments: