Neighbor rhood Farm Share e Application- Rochester Neighborhood Farm Share Income Eligibility Guidelines

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Participants in the NOFA-NY Neighborhood Farm Share program receive up to a $100 reduction in cost for share from f a local farm. The participant pays the remainder of the cost of the share. Participants who do not need a full $100 reduction in the share cost are invited to pay as much of the cost of the share that they are able. A completed application to the NFS program includes both this application as well as an application to the participating CSA/farm. Attached is a list of participating farms, distribution sites, and pricing. There is a limited amount of subsidies, which will be given on a firstt come, firstt serve basis. We encourage you to return your application before the deadline of May 2nd, 2016. Yes No I affirm that the income of my household is at or below the income guidelines in the chart below. I also affirm that I cannot be claimed as a dependent on anyone elses tax return. OR The income of my household is not at or below the income guidelines in the chart below, but I am joining the program to help create a new distribution site. Location of new distribution site: Neighborhood Farm Share Income Eligibility Guidelines Household Annual Monthly Size 1 $15,312 $1,276 2 $20,712 $1,726 3 $26,124 $2,177 4 $31,536 $2,628 5 $36,936 $3,078 6 $42,348 $3,529 7 $47,760 $3,980 8 $53,160 $4,430 Name of CSA/farm: Distribution site: Total cost of the share you are purchasing: $ Will you pay with EBT? Will you pay in installments? Neigh hborhood Farm Share Application- Rochester Print Your Name: Mailing Address: City, State, Zip: Telephone: Email: Return this form to: NOFA-NY at 1423 Hathaway Dr., Farmington NY 14425 (585)271-19799

Listed here are our partner CSA farms for the Neighborhood Farm Share program. We encourage you to research each farm to learn more about them. You can contact the farms, visit their websites, or ask for a brochure. The office can also help you choose the farm that best fits your lifestyle and needs. Peacework CSA Melissa Carlson or Elizabeth Henderson, (585)442 1364 or (585)271 1979 x505, peaceworkcsa@gmail.com peacewkfrm@yahoo.com Abundance Coop, 62 Marshall Street, Rochester NY 14607 Peacework Farm, 2231 Welcher Rd., Newark, NY 14513 Fellenz Family Farm Andy Fellenz, (585) 260 2477 or andy@fellenzfamilyfarm.com Church of the Transfiguration, Pittsford Trinity Church, Geneva Unitarian Universalist Church of Canandaigua Brighton Farmer s Market (Sundays) The Good Food Collective The Good Food Collective, (315) 524 3570 or membership@thegoodfoodcollective.com Perinton Community Center, 1350 Turk Hill Rd., Fairport, NY Midtown Athletic Club, 200 East Highland Dr., Rochester, NY University of Rochester Medical Center, Flaum Atrium at Crittenden Blvd., Rochester, NY The Harley School, 1981 Clover St., Rochester, NY Jewish Community Center, 1200 Edgewood Ave., Rochester, NY The South Wedge Farmer s Market, 151 Mt. Hope Ave., Rochester, NY RIT Better Me Wellness Center @ Global Village Plaza, Ralph Tyler Dr (lot S), RIT Campus, Rochester, NY Hart s Local Grocers, 10 Winthrop St., Rochester, NY Fleet Feet, 155 Culver Rd. #110, Rochester, NY Heritage Christian Services Pieter s Family Life Center, 1025 Commons Way, Rochester, NY Jefferson Family Medicine, 924 Jefferson Ave., Rochester, NY 14611 Webster Public Library, 980 Ridge Rd., Webster, NY Return this form to: NOFA-NY at 1423 Hathaway Dr., Farmington NY 14425 (585)271-1979

Porter Farms Emily and Katie Porter, (585)757 6823 or porterfarmscsa@gmail.com Brockport site location TBD Bellaqua Estates Court, Chili Crossroads Lane, Greece Timber Brook Lane, Penfield Biltmore Drive, Irondequoit Pershing Drive, Rochester Greece Canal Park Dewey Avenue, Fairport City of Rochester site location TBD Univ. of Rochester/ Strong Area, Rochester site location TBD Imperial Drive, Webster Brookwood Road, Brighton Return this form to: NOFA-NY at 1423 Hathaway Dr., Farmington NY 14425 (585)271-1979

Neighborhood Farm Share CSA Pricing and Information CSA Season Share Size Price per week Price per season Accepts EBT Peacework Full Price Subsidized Full Price Subsidized CSA 26 weeks Price Price Yes May November Full Share 7 10 items $18.27 $29.81 $19.23 $475 $775 $500 Porter Farms 22 weeks June November Partial Share 4 5 items Full Share 4 people $13.46 $11.54 $350 $300 $19.32 $14.77 $425 $325 No Good Food Collective 15 weeks Large Share $51.33 $44.67 $770 $670 Yes Some farms June Sept 4 8 people Standard Share 2 4 people $26.00 $19.33 $390 $290 Small Share Feeds 1 person $13.00 $9.67 $195 $145

Neighborhood Farm Share CSA Pricing and Information Fellenz Family Farm 25 weeks June 6 November 21 Small Share 2 3 people Large Share 3 4 people $22.60 $18.24 $565 $456 $29.20 $25.20 $730 $630 No Completed applications may be returned via email to Sondra@nofany.org or mailed directly to: 1423 Hathaway Drive Farmington, NY 14425 Attn.: Neighborhood Farm Share