Project Learning Garden Application PLG Application Please select the market your school is located in(Required)If your school is not located in any of these markets, you will not be eligible to applyGrand Rapids, MI (Dematic)Fort Worth, TX (Dematic)New York City (Delta)Nashville, TN (Cox)Seattle/Tacoma, WA (Delta)OtherContact Name(Required) First Last Contact Email(Required) Contact Phone(Required)Contact Relation to School(Required)Is Contact also serving as Garden Coordinator?(Required) Yes No School Name(Required)School Phone(Required)School District(Required)County Where School is Located(Required)School Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is this a public or private school?(Required) Public Private Total number of students in school(Required)Captain Planet Foundation’s Project Learning Garden (PLG) does not typically fund gardens for private schools. However, you do have two choices if you’d like to move forward: 1) If your private school receives significant public funds or has at least 30% student scholarships, you may be considered; or 2) You can privately fundraise the cost of PLG and bring it to your school for $6,000.Does your school receive significant public funds or have at least 30% student receiving scholarships?(Required) Our school does NOT receive public funds Fewer than 30% of students receive scholarships Unfortunately, your school is not eligible for a PLG grant. However, you have the option to purchase the program at cost for $6,000. Please contact us if you are interested – learninggarden@captainplanetfdn.org % students receiving free & reduced lunch (FRLP%)(Required)Is this a Title 1 school?(Required) Yes No What grade levels are included in this school?(Required) pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Are there plans for relocation or major construction at this school in the foreseeable future?(Required) Yes No Please briefly describe any plans to relocate the school, or any upcoming construction projects you are aware of.(Required)About Your School's Garden SpaceDoes your school campus already have garden spaces?(Required) Yes No Does your school campus have space for a garden?(Required)Project Learning Garden requires about 200 square feet that gets at least 6 hours of sunlight daily. Yes No Does this space have access to water?(Required)Access to water is critical for a successful garden space Yes No Unfortunately, having adequate space and sun for your garden space is a REQUIREMENT for Project Learning Garden.Unfortunately, having ready access to water is a REQUIREMENT for Project Learning Garden.Please upload an image of the space where you will be installing the gardens.(Required)Max. file size: 256 MB.Approximate distance from water access point to garden space(Required)How many square feet of growing space do you currently have?(Required)How long has this garden space been in use?(Required)Briefly describe how your gardens are currently being used?(Required)Please upload a photo of your existing garden space.(Required)Max. file size: 256 MB.If granted, would you prefer a $500 credit to Gardener's Supply or five additional raised beds and soil to enhance your existing garden space?(Required) $500 Credit New Raised Beds Unsure Garden ManagementPlease briefly describe any gardening experience of the project leaders (coordinators, teachers, staff, advisors, etc.) involved in the garden. If limited, please instead share the action plan for them to learn more about gardening.(Required)Has anyone involved in the garden ever attended a Garden Educator training? Some examples of this include but aren’t limited to the Edible Schoolyard Academy, Life Lab workshops, Shelburne Farms Educator Workshops, Local Agricultural Extension Programs, or Master Gardener Classes.(Required) Yes No Unsure Successful school garden programs typically have regular adult volunteers who support the upkeep and operation of the garden. How many volunteers do you anticipate getting involved? How will you recruit these volunteers?(Required)Briefly describe any plans or ideas for engaging your community in the garden and integrating the garden into the community culture and identity. Community could encompass the parents and families, staff, neighbors, local businesses, etc.(Required)Ideas for engagement and integration include community involvement in the garden design, garden tastings or cooking events, potlucks in the garden, farmer’s markets, or any other fundraising or awareness events and communications.Please share the name and role of individuals who are on your Garden Committee or, if you don't yet have a committee, please describe your plans to create one.(Required)An active school garden committee is crucial to the long term success of a garden-based learning program. This can be a subcommittee of the school’s existing wellness or green committee, and can support the school’s existing Wellness Plan. It is important to include teachers, administration, maintenance, parents and potentially students. A committee of 3-7 people is ideal. Activating the school garden committee will be one of the first steps of the Project Learning Garden program, so the more advanced work you can do on this, the better. Instructional Culture of the School & GardensDoes your school have a science lab?(Required) Yes No Does your school have a STEM coordinator?(Required) Yes No Does your school have a PTSA Environmental Committee?(Required) Yes No Does your school have a Science Committee?(Required) Yes No How many grade levels are represented by teacher members of the Science Committee?(Required)Please describe any notable priorities or positions that you think would be supportive to or supported by an outdoor learning space.(Required)Briefly describe how Project Learning Garden will fit into your school's instructional strategy.(Required)Approximately how many youth will be involved with the garden?(Required)Will teachers have administrative support to complete online training for the school?(Required) Yes No Unsure Are you committed to using Learning Gardens lessons and providing feedback through surveys?(Required) Yes No Unsure Are you committed to documenting student engagement in your garden?(Required) Yes No Unsure School ContactsPrincipal Name(Required) First Last Principal Email(Required) Principal Phone(Required)Garden Coordinator Name(Required)if different than primary contact First Last Garden Coordinator Email(Required) Garden Coordinator Phone(Required)School Administrative Assistant(Required)ideally someone stationed in the school office who can receive materials First Last Admin Email(Required) Admin Phone(Required) Δ