Apply for Stipend

Please select one: *

I am employed at a horticulture or landscape company
I own my own horticulture or landscape business
Neither

If you own your own horticulture or landscape business, please enter your FL Dept of State Div. of Corporations document/registration number here:

YOUR First Name *

Last Name *

Job Title *

Company Name *

Email *

Phone Type *

Phone *

City *

PROVIDE BRIEF ANSWERS TO THE FOLLOWING QUESTIONS.

Briefly describe your work and how long you have been working in the industry. *

Why are you interested in attending the conference? *

What interests do you have in a career or business with native plants. *

Check all that apply to your plans for conference participation: *

One conference program day (Friday or Saturday)
Both conference program days (Friday and Saturday)
One field trip day (Thursday or Sunday)
Two field trip days (Thursday and Sunday)
One or more evening socials

OPTIONAL: indicate where we can find and follow you on social media

You attest to the following (check all that apply): *

You are under 35 years of age and meet all eligibility requirements
You have read and understand the requirements for participation and receiving the stipend
You are granting the Foundation the right to photograph, audio and videotape your participation
You will check in with a Foundation representative at the conference (Friday or Saturday)
You will share your experience at a future, to-be-scheduled virtual meeting

If you have any questions about anything on this form, or anything else related to this event, please contact the foundation by email: executive@nativeplanthort.org

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Apply for Stipend