2017 Suburban Community Gardening Program: New Garden Application
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1 OHIO STATE UNIVERSITY EXTENSION 2017 Suburban Community Gardening Program: New Garden Application OSU Extension, Cuyahoga County 5320 Stanard Ave. Cleveland, OH fax: phone: x217 The Suburban Community Gardening Program provides education, technical assistance, and networking opportunities to help community gardens in Cuyahoga County achieve long term success. Additional resources may be available to gardens registered with the program on an annual basis. Please complete this form in its entirety. Contact Elizabeth Roche with questions about this program or application: x217 I. CONTACT INFORMATION FOR GARDEN LEADERS (TWO ARE REQUIRED) Phone: ( ) What is the best way to contact you? Please check one: Phone Phone: ( ) What is the best way to contact you? Please check one: Phone Are you applying on behalf of an organization or institution? If so, list the name here: 1 OSU Extension, Cuyahoga County, 5320 Stanard Ave. Cleveland, OH l l cuyahoga.osu.edu
2 II. GARDEN INFORMATION What is the name of the garden? What year did the garden start? Where is the garden located? Parcel Number (PPN) of garden site What best describes the type of location this is? Vacant residential lot Public or charter school Health Clinic Public housing Apartment/condo building Nursing Home Transitional Housing Recreation Center/City park Faith based organization Daycare Center Other Are there any special conditions that must be met to participate in this garden or is it open to anyone who is interested? Please explain: Size of garden area: feet by feet Type of garden: Individual garden plots Communal growing space Both If garden is divided into plots, what is the average size? feet by feet 2 OSU Extension, Cuyahoga County, 5320 Stanard Ave. Cleveland, OH l l cuyahoga.osu.edu
3 Is there a fee to participate? Yes No Not sure If yes, what is the amount? $ How is produce from the garden used? *check all that apply Used by gardeners Used in a meal program on site A portion is donated 100% donated If produce is donated, where to? If your garden was active last year, how many gardeners participated? # female gardeners # male gardeners If your garden was not active last year, how many gardeners do you anticipate this year? III. Master Gardener Volunteer Mentors The Master Gardener Community Garden Mentor Program is designed to match an experienced Ohio State University Extension Master Gardener Volunteer (MGV) with a community garden. MGV s are to provide growing advice to gardens throughout the growing season. It can be in the form of site visits, phone calls, , etc. The MGV mentor can help you solve growing problems but should not be expected to do labor on site. We have a limited number of MGV s, so we will match the gardens that have the greatest need (usually the least experienced) first. Is your garden interested in being matched with a MGV Community Garden Mentor? YES NO (If, NO please do not fill out the rest of this section) What do you consider the greatest challenges at your garden (Select All That Apply)?: Pest and Disease Problems Weeds Composting Planting, soil preparation and plot design Knowing when to harvest and what to do with the produce you grow Do you have any other problems that are not listed above? PLEASE READ AND SIGN THE GARDEN LEADER AGREEMENT AND WAIVER ON THE NEXT PAGES 3 OSU Extension, Cuyahoga County, 5320 Stanard Ave. Cleveland, OH l l cuyahoga.osu.edu
4 Suburban Community Gardening Agreement 2017 The Suburban Community Gardening Program will: Provide community garden based education and training through Ohio State University Extension (OSUE). Provide registered community vegetable garden groups the opportunity to purchase a fire hydrant permit at the City of Cleveland Water Department. Visit community vegetable gardens during the season to provide education and technical assistance, as needed or as requested. Facilitate opportunities for learning and collaboration among community gardens. Provide resources to support garden s sustainability when funding is available. The garden leadership agrees to: Fully complete and return the Suburban Community Gardening Program (SCGP) Application and yearly renewal form, Agreement, and Waiver by its due date. Have at least five registered participants in the garden. All gardeners cannot be from the same family. Provide accurate and timely gardening information to all of the registered gardeners. Distribute any supplies and services made available by the program equitably among the registered gardeners, including the OSUE e-newsletter and workshop schedule. Cooperate with reasonable requests for garden-based information from the Suburban Community Gardening Program. Work with the registered gardeners to see that gardens are planted, maintained, and harvested. Coordinate maintenance of the garden throughout the growing season. Provide OSUE event and workshop information to gardeners. Cooperate to the best of your ability with OSU Extension, registered gardeners, and neighbors. Have or obtain written permission from the landowner to use the land as a community vegetable garden. (If your garden does not have a written agreement and would like help getting one, please contact the Suburban Community Gardening Program.) As the Garden Leader, I have read, understand, and agree to follow all guidelines and policies. I have answered all questions on the application thoroughly and honestly. I have read the above agreement. I understand my responsibilities as garden leadership and will abide by the agreement. Garden Garden Leader Signature: Date: 4 OSU Extension, Cuyahoga County, 5320 Stanard Ave. Cleveland, OH l l cuyahoga.osu.edu
5 2017 WAIVER FORM RELEASE OF CLAIMS I am duly aware of the risks and hazards that may arise through participation in Ohio State University Extension's Community Gardening Program and assume any expenses and liabilities I incur in the event of an accident, illness, or other incapacity. If I have had any questions about the Community Gardening Program, its nature, risks, or hazards, I have contacted the Extension Educator and/or Program Coordinator and discussed those questions with him or her to my satisfaction. In consideration of being granted the opportunity to participate in the Community Gardening Program, I, for myself, my executors, administrators, agents, and assigns, do hereby release and forever discharge the Ohio State University, and its Board of Trustees, administrators, employees, servants, agents, assigns, and officers and the cooperating landowner for all claims and damages, demands, and any actions whatsoever, including those based on negligence, in any manner arising out of my participation in this activity. I understand that this release means that, among other things, I am giving up my right to sue Ohio State University and cooperating landowner for any such losses, damages, injury, or costs that I may incur. Please fill out Garden Signature: Date: CFAES provides research and related educational programs to clientele on a nondiscriminatory basis. For more information: 5 OSU Extension, Cuyahoga County, 5320 Stanard Ave. Cleveland, OH l l cuyahoga.osu.edu
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