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West Bloomington Free Tree Request

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Phone *

Email *

Are you interested in a free tree for your West Bloomington home or property? *

Yes
No

Are you a resident or property owner in West Bloomington, IL? *

Yes
No

Do you own the property at the address listed above? If no, we will need explicit permission in writing from the property owner prior to scheduling a planting date. *

Yes
No

Income Eligibility Thresholds:

Household of 1 - $61,800, Household of 2 - $70,600, Household of 3 - $79,450, Household of 4 - $88,250, Household of 5 - $95,350, Household of 6-$102,400, Household of 7-$109,450, Household of 8-$116,500

Do you meet the below 80% Area Median Income (AMI) eligibility requirements, and can you provide documentation of qualification if requested? *

Yes
No

As a condition of receiving a free tree, you must be present and willing to help plant it, and must commit to caring for the tree (regular watering) after it is planted. Are you able and willing to meet these requirements? *

Yes
No

If you have any outdoor pets that may distract from planting, are you able to keep them indoors until the tree is planted? *

Yes
No

In order to make sure no utility lines are damaged during planting, J.U.L.I.E will need to check and mark the planting area. Do you give the Ecology Action Center approval to request a utility line check on your behalf? *

Yes
No

Timeout Warning

West Bloomington Free Tree Request

Income Eligibility Thresholds: