Neighbourhood Activity Application Form

Primary contact person *

Phone

Email Address *

Address

Street address

Town/City

State

Postcode

Are you a local resident? *

YesNo

Activity name *

Brief description: (What will happen at your activity?) *What will happen at your activity?

Target participants: (Who is this for?) *

Expected number of attendees *

Preferred hall/venue *

Frequency *

Preferred date *

Preferred time *

Proposed start date *

Duration *

1. Community Building Focus

How will your activity help local residents connect and build relationships *

2. Accessibility

Is your activity:

Free to attend?Donations up to $5 for costs?

How will you ensure your activity is welcoming to all community members? *

3. Community Benefit

How will your activity:

Create opportunities for neighbours to meet? *

Provide space for locals to discuss community ideas/issues? *

Build lasting relationships in your area? *

Provide feedback to Council about your activity, including attendance, topics discussed, and any community issues or ideas that emerge? *