2024 Rain Barrel Scholarship Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Sierra Club Michigan Chapter is excited to offer a limited number of scholarships for the 2024 Rain Barrels on the Riverfront program for those with the greatest financial need. We are offering two scholarship options: 1. A fully funded rain barrel and 2. A partially funded rain barrel in the form of a $25 discount.

Please complete the questions below. Applications will be reviewed on a rolling basis.

If you would like to purchase a barrel instead, please visit https://mirainbarrel.com/signup/?action=evregister&event_id=86

First and Last Name: *

Email Address: *

Phone Number: *

Are you a Detroit resident? *

Yes

Do you qualify for any low-income services or benefits? *

Yes

Please indicate you level of need: *

I need a fully rain barrel scholarship.

I need a partial rain barrel scholarship ($25 off the purchase price).

Address where rain barrel will be installed: *

Rain barrels are required to connect to a gutter to work effectively. Is there a structure with functioning gutters at the location where you plan to install the rain barrel? *

Yes

How do you plan to use the rain barrel? Who will benefit from the rain barrel? *

Do you prefer to be contacted via phone or email? *

Phone

Are you available to attend the rain barrel workshop on Sunday, April 21st from 12:30pm-3pm at Gabriel Richard Park? *

Yes

Maybe

Additional questions or comments?

Thank you for interest in a rain barrel scholarship. Applications are selected on a rolling basis. Please allow 2-4 business days for your application to be reviewed.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Sierra Club. Report Abuse

Forms