Volunteer Form: Cultivating Justice: A Community Garden Initiative of Media Fellowship House

Cultivating Justice: A Community Garden Initiative of Media Fellowship House

Volunteer Interest Form
Media Fellowship House is seeking dedicated volunteers to support us in creating and caring for a Community Garden project located in Media Borough. To express your interest in supporting this project, please complete this short form. A member of our team will reach out to share more!
Contact Information
Name*

First NameLast Name
Organization
If applicable
Preferred Pronouns*

He/HisShe/HerThey/ThemPrefer Not to AnswerOther
Phone Number*
Email*
example@example.com
What is the best way to get in touch with you?*

PhoneEmailTextOther
What’s the best day(s) and time to reach you?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How would you like to get involved?
Which statement(s) best describes you:*

I am a youth interested in volunteeringI am an adult interested in volunteeringMy household is interested in volunteeringI am an educator or organization looking for ways to partnerOther
Select any or all ways in which you would like to get involved:*

Mentoring YouthGardening with members of my householdDonating Supplies (Soil, Tools, Plants, etc.)Harvesting ProduceOffering Community Education (e.g., composting, pollinators, gardening)Other
How many hours per week could you volunteer?*

1-2 hrs2-4 hrs4-6 hrs6+ hrsOther
What days of the week are you available?*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayOccassionally, as needed.
Please share any information about why you are interested in participating in our community garden initiative. Tell us about who in your household, class, or organization may like to contribute.*
Gardening Interests
Do you have any particular interests or experience relating to gardening? If so, please describe.*
Please select what types of volunteer opportunities interest you? (Any or all)*

Planting SeedsWatering PlantsWeedingDecorating/Creating Art for the GardenMentoring YouthExploring and Learning about PlantsCompostingNatural Pest ControlHealthy Cooking and EatingHarvesting Herbs and VegetablesSharing Resources with the CommunityOther
How did you learn about this program?*

Friend/FamilyNewspaperSocial MediaWebsiteOther
NOTE: If you are a volunteer aged 18 or older and working in any of our youth programs, we require you to complete the necessary background checks and clearances. You can learn more about these clearances on our website: Background Checks & Clearances
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Cultivating Justice: A Community Garden Initiative of Media Fellowship House

Contact Information

How would you like to get involved?

Gardening Interests