Book of Ideas Application Form » Shire of Brookton

Name Of Project Or Idea:*

Name Of Individual (Or):*

Name Of Organisation:*

Contact Person:*

Position:*

Phone:*

Mobile:

Email:*

1a. Brief Description Of Your Suggested Idea/project: (Please Tick All That Apply)*

Cultural and/or ArtsTechnologicalEconomicSocialPoliticalInnovationEvent/Project

1a. Brief Description Of Your Suggested Idea/Project:*

1b. Have You Used Any Mindmapping And Brainstorming Applications/tools To Assist You? (Eg. Mindmeister, Spiderscribe, Coggle, Freeplane, Bubbl.us) If So, What Was The Outcome?*

2. How Will Your Idea/project Benefit The Brookton Community? Does It Align With The Brookton 20>?

3a. Does Your Idea/project Involve Partners/collaboration/other Stakeholders? If So, Who Are They And What Would Be Their Involvement? (Financial, Social, Marketing Etc)*

3b. Does Your Idea/project Require External Funding? If So, What Funding Might Need To Be Sourced And How Much?*

4. Do You Have Any Examples Of Where A Project Like This Has Been Run Successfully Elsewhere? If Not, What Are The Prospects Of Success For This Project In Brookton?*

5. Have You Identified Any Cause/effects Arising From Your Idea? If So, Please List Them:*

6. Please Indicate If You Would Like To Be In Attendance To Present This Application:*

YesNo