New PLG School Info Applicant Name* First Last Applicant Email* School InformationSchool Name* District Name* School Website School Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Grade Levels* School Phone*School Fax*Your schoolyard has:* Space for a garden (200 square feet in full sun with little or no slope) Existing garden (garden update or expansion) First Day of Current School Year* MM slash DD slash YYYY Last Day of Current School Year* MM slash DD slash YYYY Total Number of Students*Is this a Title I school? (This information is for reporting purposes only; Title I status has no bearing on eligibility.)*NoYesSchool Principal InformationPrincipal's Name* First Last Principal's Email* Principal's PhoneWho will coordinate your garden?Garden Coordinator Name* First Last Garden Coordinator's Relationship to School* Garden Coordinator Email* Garden Coordinator Phone*Does the school have a science lab? Yes No Does the school have a science coordinator? Yes No Does your school have an Environmental or Green Committee? Yes No If yes, please describe.Is there an accessible water source near the garden site? Yes No If yes, how many feet from the garden is it?(only write number)How do you envision your school will use the garden?*AcknowledgmentsUpon competion of the onboarding process, your school will receive a new garden (or a gift card for expanding your existing garden), a stocked mobile cooking cart, supplies to support teaching PLG lessons, and materials to support gardening and outdoor exploration. Before we release these materials, we’ll ask your school to submit a simple Garden Planner, a brief template that will help you share your school’s plans for the receipt, storage, and implementation of grant materials.* I understand I will be asked to submit a Garden Planner before grant materials are released, and I agree to do so. Some selected schools will be asked to participate in a media event and workshop or school assembly, hosted on your campus. This event will highlight your school’s learning garden and other awesome outdoor learning initiatives. Attendees will participate in a taste test with representatives from Dole Packaged Foods, and Captain Planet Foundation (CPF), and supporters from your local community. In addition, CPF may offer a workshop for participating teachers and/or an introductory assembly for a wider school audience.* I understand that I may be invited to participate in a media event held on my school campus. Captain Planet Foundation may offer a free workshop and/or assembly in conjunction with this media event. I am prepared to accept these invitations. If your site hosts a media event, we will honor your school’s policies and parents’ preferences regarding the sharing and release of student images. We can provide release forms for this event if necessary. Does your school collect media release information for every student?*NoYes
