Applicant contact information First and last name Email address Phone number Address of proposed planting City State ZIP code Light conditions of your proposed pocket location Light conditions of your proposed pocket location. - Select -Full sunPart shadeDon't know This is where I intend to plant Where is your proposed planting in your yard? - Select -Front yardBack yardSide yard Acknowledgements All requirements boxes must be checked in order to be eligible for the program I am a resident of unincorporated Johnson County, agreeing to plant a pollinator habitat on my primary residence. I agree to plant provided plugs within 72 hours of pick-up. I agree my project will be maintained for a minimum of 3 years. I understand this native pocket is to go in an area that is currently being mowed or maintained. I understand Johnson County or Program Affiliate may monitor my project within the lifespan of the project. I understand it is mandatory that I attend the Pocket Prairie Program Workshop (July or August). I understand I need to provide site preparation on my own time or cost. CAPTCHA Get new captcha! What code is in the image? Enter the characters shown in the image. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit application Leave this field blank