Report your donation

Date*

Name*

First Last

Email*

Are you a Master Gardener Volunteer?*

Yes
No

If you are a Master Gardener Volunteer, to what county do you report your hours ?*

Please select source of donation*

Home Garden
Farm
Farmer's Market
Business (not agricultural)
Community Garden
School Garden
Place of Worship

Name of Source (e.g., school name)*

Donation Recipient (please select all that apply)*

Food Pantry
Low Income Housing
School Program
Senior Housing
Other (please explain below)

Other donation recipient:

In what county was the food grown or gleaned?*

s this donation for one of the following gleaning groups?

Androscoggin Gleaners, Cumberland County Gleaning Initiative, Downeast Gleaning Initiative, Knox County Gleaners, Lincoln County Gleaners, Merrymeeting Gleaners.

Please provide the name of the gleaning group

Name of Donation Site*

Total number of pounds donated:*

Please enter a number less than or equal to 1000.

Please use numbers only

Maine Harvest for Hunger Reporting Form