Required fields are marked with an asterisk (*) In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected in this form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing Neighbourhood Placemaking application forms.If you have any questions about the collection and use of your personal information, please call 311 or email contactus@311.halifax.ca. 1. Project Applications will be evaluated on the following weighted criteria: Placemaking Create or Placemaking Art: The process of the project builds relationships in the wider neighbourhood /60 The project creates a distinctive, lasting contribution to the neighbourhood /20 Budget Feasibility /20 Timeline Feasibility /15 There are 4 Project members, all members are neighbours, and live in separate households Pass/Fail Related property owner or HRM departments have, or likely will, give permission to use the land Pass/Fail Publicly Accessible Pass/Fail Environmental Placemaking: Meaningful neighbourhood engagement and participation /30 Environmental impact /30 Budget Feasibility /20 The project creates a distinctive, lasting contribution to the neighbourhood /15 Timeline Feasibility /15 There are 4 Project team members, all members are neighbours, and live in separate households Pass/Fail Related property owner or HRM departments have, or likely will, give permission to use the land Pass/Fail Publicly Accessible Pass/Fail Project Name 2. Project Team MembersProject Team must have four members. All members must be residents of the neighbourhood and live in separate households. Name of Member #1: Phone: Email Address: Civic Address: By checking this box you confirm that this member has consented to sharing their contact information. Name of Member #2: Phone: Email Address: Civic Address: By checking this box you confirm that this member has consented to sharing their contact information. Name of Member #3: Phone: Email Address: Civic Address: By checking this box you confirm that this member has consented to sharing their contact information. Name of Member #4: Phone: Email Address: Civic Address: By checking this box you confirm that this member has consented to sharing their contact information. Name of other neighbours involved: (name and email address only) 3. Project Category Neighbours can apply under one of three streams: Placemaking Create: For projects addressing any topic. Successful projects are eligible to receive between $1,500 to $4,000 in support funding. Placemaking Art: For projects addressing any topic and who will hire an artist. Successful projects are eligible to receive between $3,000 to $7,000 in support funding. Environmental Placemaking: For projects that contribute to climate resilience and sustainability in your neighbourhood. Successful projects are eligible to receive between $3,000 to 10,000. Please indicate which category your project is applying for: Placemaking WITHOUT an Artist Placemaking WITH an Artist Environmental Placemaking 4. Project Details Please describe what you would like to create with your neighbours: Environmental Placemaking applications ONLY: Please detail how your project will address climate resilience and sustainability in your neighbourhood: Why is it important to do this project? What effect do you hope this will have on your neighbours and neighbourhood? Describe how your project will make a meaningful difference in your community and the legacy it will leave behind. Target Groups in your Neighbourhood: Describe who from the neighbourhood you and the Project Team will contact (eg. families, seniors, neighbourhood associations, specific businesses, not-for-profit groups, group homes, etc.). How will the above groups be involved? Engagement Method: How do you plan to engage your neighbourhood? Projects will not be accepted that only engage community online. Consider the following:Activities during in-person gatheringsWhere will you hold meetings?How will you invite neighbours to the meetings?What will you discuss at your meetings?Besides meetings, what other forms of engagement will you use to gather feedback?How will you collect and incorporate your neighbours input ? How will you measure the success of your engagements? Recruit Volunteers: Describe how additional volunteers beyond your Project Team will be recruited. What roles will you ask neighbours to volunteer for? 5. Timeline Brief Project Timeline: Please provide a draft project timeline. 6. Workshop Participation Your Project Team will attend a series of workshops. Workshops will run from January to March. All Project Team members will be able to attend the workshops I am concerned not all Project Team members will be able to attend workshops Please explain: 7. Location Proposed Location(s) of your project. Please be as specific as possible. (ex. Where in the park will your installation be? What street intersection will you paint?) Option 1: Option 2: Option 3: Have you discussed your project with the owner of the property, if not on municipal property? Do you have their consent to install the product on their property? 8. Artist Artists will be required to meet with the neighbourhood and make revisions based on neighbourhood input. Do you have an artist secured? Have you had discussions with prospective artists? Please elaborate: What tasks will your artist take on? 9. Celebration/Creating Day What will your celebration day look like? Does the street need to be closed for your celebration? Yes No Approximate celebration date: 10. Budget Please provide a financial breakdown of your project budget, including materials and any artist or professional fees that may apply. Placemaking Create: eligible for between $1,500 and $4,000. Placemaking Art: eligible for between $3,000 and $7,000. Environmental Placemaking: eligible for between $3,000 and $10,000. Final funding decisions will balance project impact with the available budget. For all projects, food and entertainment costs cannot exceed 10% of the total project budget. Please list each expense and its amount, and include the total cost of your project. Description + Amount Budget Total: Support funding may not cover all costs of a project. Please indicate other fundraising ideas or in-kind support you may be able to seek for your project. Please identify what additional support has already been confirmed. 11. Applicant and ProcessAdditional project details:If you would like to submit further materials, like a more detailed budget, timeline, neighbourhood information, images of sample projects, etc you can email the content to placemaking@halifax.ca by the application due date. Please keep additional materials to no more than 5 pages. Additional details beyond the online application is not a requirement. I will email placemaking@halifax.ca with additional support materials to be included with my application. Shortlisted projects will be invited to present their project to HRM staff as a team. My group understands that if they are shortlisted, they will be invited to present in-person and answer questions about their project. 12. Applicant Applicant Name (Project Member): Applicant Email Address: Submit
