Maine Harvest for Hunger
Enrollment Form

Sponsored by University of Maine Master Gardeners in Cumberland County

Date

Please enroll me as a Maine Harvest for Hunger participant:

First Name   Last Name

Organization

Street Town ZIP

Phone E-mail

As a Maine Harvest for Hunger participant I intend to:

·       Grow extra produce

·       Deliver my produce to a food pantry or other designated site

·       Send records of my donations to Cooperative Extension 

Check types of vegetables that you intend to grow and donate.

Suggested long-term keepers include:

beets cabbage  carrots winter squash

Other Other Other       

Suggested short-term keepers include:  

tomatoes  cucumbers  summer squash  lettuce  broccoli  beans

Other Other Other     

In addition, I can help in the following ways (please check):

Participate in gleaning parties -- the “clean up” harvest of crops on local farms 
Volunteer at a local community garden
Deliver extra produce from local farmers markets to food pantries

Please contact about being a possible gleaning site:

First Name   Last Name

Farm Name   Phone Number 

E-mail

Please also send an enrollment packet to:

First Name   Last Name

 Street Town ZIP

 Phone E-mail

Three ways to enroll:

1. Print, fill in, and fax to: 207-781-5983

2. Print, fill in and mail to: UMaine Extension – Maine Harvest for Hunger, 75 Clearwater Dr, Suite 104, Falmouth, ME  04105

3. Fill in form online and press submit button

Submit  Clear