Adult Education

Horticultural Therapy Services

Application for Services

Acceptance of your application will be subject to availability of schedule openings and an orientation meeting. Upon receipt of your application, we will contact you for an interview and/or site visit.

Please call (847) 835-8247 or visit if you have questions.

Items market with a * are required. Form will not send unless these fields are filled in.

*Name of Agency:    
*Applicant name: Administrator name:
*Applicant email: Administrator
Street address: Fax:
Zip/Postal code:

If in Chicago, please indicate
neighborhood name:

Ward number:

Ward alderman:

For Cook County agencies, please provide Forest Preserve District of Cook County District number:

County commissioner name:

This application is for:

Gardening for Life Enrichment Daily Program
Gardening for Life Enrichment Yearlong Program

What audience does your agency predominantly serve?

What are your goals for the program?

What are your goals for the individuals you serve?

How did you learn about our horticultural therapy program?


Private Krankenversicherung