Little Habitat Connectivity Kit Request Form - Marion SWCD

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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.

Date(Required)

Month

Day

Year

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 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

Max. file size: 512 MB, Max. files: 3.

Δ

Kassi Roosth

Education Specialist

kassi.roosth@marionswcd.net

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