Online Form - Book of Ideas Application Form

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

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