Program Interest Form

Program Interest Form

Pollinator Partnership has a number of programs that may be able to provide support for your pollinator conservation efforts, ranging from technical assistance on large-scale habitat restoration projects to supplemental plant materials for backyard gardens. Provide us with your contact information below and we will notify you when programs are active in your area.
Name:*

First NameLast Name
Email:*

Confirmation Emailexample@example.com
Name of site or organization (if applicable):
Which of the following Pollinator Partnership programs would you be interested in? (Check all that apply)

Free Native Wildflower Seed Grant (https://www.pollinator.org/native-seed-grants)Bee Friendly Farming (https://www.pollinator.org/bff)North American Pollinator Protection Campaign (https://www.pollinator.org/nappc)Bee Friendly Gardening (https://www.pollinator.org/bfg)Farm Bill Conservation Programs - Free habitat assistance for agricultural working lands in the Northeast, Midwest, and Western USProject Wingspan (https://www.pollinator.org/wingspan)Pollinator Steward Certification (https://www.pollinator.org/psc)Monarch Wings Across America (https://www.pollinator.org/monarch/mwaa)Honey Bee Health Grant (https://www.pollinator.org/honeybee-health)Bombus Grant Program (https://www.pollinator.org/nappc/imperiled-bombus-conservation)Lepidoptera Grant Program (https://www.pollinator.org/lepidoptera#Grant)Garden Club of America Scholarship (https://www.pollinator.org/gca-fellowship)Educational opportunitiesVolunteer InterestWays to Give/Donate (https://www.pollinator.org/ways-to-give)
What is your state/province?*
What is your zip code?*
Do you have an active pollinator habitat project that has undergone site preparation (removal of undesirable vegetation and necessary soil preparations)?*

YesNo
Do you plan on implementing a pollinator habitat project in the next year?*

YesNo
Approximately how large, in acres, is the habitat project area(s) that you are working on? (If applicable)
How would you describe the location of your pollinator habitat project? Please select all that apply and/or specify additional under "Other".

Private landPublic landUtility right-of-wayRoadside right-of-wayFarm/pasture/rangelandRuralSuburbanUrbanHomeowners Association (HOA)Other
Would you like to be added to our monthly e-newsletter, the Pollinator Action Team, to stay informed abut our many ongoing and upcoming programs?*

YesNo
Thank you for completing this form!

Pollinator Partnership looks forward to the potential to help your conservation efforts go farther. A member of our staff will be in touch as opportunities arise. Thank you for your interest in conserving pollinators and the ecosystems that rely on them!
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Program Interest Form

Thank you for completing this form!