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Little Habitat Kit Request Form
Request Form Open: July 1st-August 31st
Check these boxes to indicate you meet all the requirements.
(Required)
Site must be located a maximum of ½ mile from another certified LHP participant
Project must be shovel-ready (e.g., grass removed, weed control implemented)
Must be able to pick up the plants in Stayton on October 10th or 11th 2025
Must provide a 1-year update including a photo, project description, and feedback
If you do NOT meet all the requirments for our Little Habitat Connectivity Kit, please contact Kassi Roosth at 971-382-2000 or kassi.roosth@marionswcd.net for more information.
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Name of Applicant
(Required)
First
Last
Phone
(Required)
Email
(Required)
Name of Certified LHP Participant making recommendation
(Required)
First
Last
Project Site Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Goal: Why are you interested in receiving a habitat kit?
(Required)
Is this your first native planting project?
(Required)
Yes
No
Please explain prior experience:
Does your project area receive at least 5-6 hours of sunlight per day?
(Required)
Yes
No
Will this kit be used to replace lawn space?
(Required)
Yes
No
Will weeds and grass been removed from the planting site before October 10th?
(Required)
Yes
No
Will you water the plants in the summer months to help establish?
(Required)
Yes
No
Will you apply mulch to the project area? (Bark dust, woodchips, leaf litter, etc.)
(Required)
Yes
No
Are you willing and able to take care of the plants for a minimum of two years?
(Required)
Yes
No
Attach 1-3 photos of where the plants will be planted
(Required)
Drop files here or
Select files
Max. file size: 512 MB, Max. files: 3.
Δ
Kassi Roosth
Education Specialist
kassi.roosth@marionswcd.net
Email Kassi
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