Join Sauvie Island Organics

Applicant information

First name

Last name

Street address line 1

Street address line 2

City

State

Zip code

Telephone

Email

Household

Number of adults in household

Number of children in household

Income eligibility

Yes, my family income is at or below the above listed guidelines and we are requesting a CSA Scholarship.

Scholarship amount

I am requesting (up to $400) from the Sauvie Island Organics Scholarship Fund.

Recipient responsibilities

If granted a scholarship I agree to pay my portion of the share by making scheduled payments throughout the season.