Neighbourhood Placemaking

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 this form/survey, please call 311 or email contactus@311.halifax.ca

1. Project

Applications will be evaluated on the following weighted criteria:

The process of the project builds relationships in the wider neighbourhood /70
There are 4 Core Team members, where at least 3 are neighbours Pass/Fail
Related property owner or HRM departments have, or likely will, give permission to use the land Pass/Fail
Realistic timeline /15
Realistic budget /15

Project Name

2. Core Team Members

Core team must have a minimum of four members. There is no maximum. A minimum of three members of your core team must be residents of the neighbourhood.

Name of Core Team Member #1 (resident):

By checking this box you confirm that this member has consented to sharing their contact information.

Phone:

Email Address:

Civic Address:

Name of Core Team Member #2 (resident):

By checking this box you confirm that this member has consented to sharing their contact information.

Phone:

Email Address:

Civic Address:

Name of Core Team Member #3 (resident):

By checking this box you confirm that this member has consented to sharing their contact information.

Phone:

Email Address:

Civic Address:

Name of Core Team Member #4:

By checking this box you confirm that this member has consented to sharing their contact information.

Email Address:

Name of other neighbours involved:

(name and email address only)

3. Project Details

Please describe what you would like to create with your neighbours:

Why is it important to do this project? What do you hope it achieves in your neighbourhood?

Target Groups in the Neighbourhood:

Describe who from the neighbourhood you and the Core Team will contact (eg. families, seniors, neighbourhood associations, specific businesses, not-for-profit groups, group homes, etc.). How will these target groups be involved? Consider any existing community events with which you can partner.

Engagement Method:

Please describe how your group plans to inform, invite and involve your neighbours to participate in the creation of your project. Consider the following questions:

Where 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 incorporate resident feedback into the design?

Recruit Volunteers:

Describe where additional volunteers beyond the core team will come from for the celebration day. Consider the skills needed and time commitment required.

4. Timeline

Brief Project Timeline:

Please provide a draft project timeline.

5. Workshop Participation

Your core team will attend a series of workshops.
Workshops will run from January to March. If you need or want to send other neighbours to the workshops to represent your project, you are welcome to.

All Core Team members know they will need to attend a series of 3 workshops as part of the program.

6. Location

Proposed Location(s) of your project.
(for asphalt painting, name the street intersection, location of path, name of court etc, to be painted)

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?

7. 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:

Road closure times:

Rain date:

8. Artist

If you will be working with a professional artist we recommend planning to have your artist attend 1 to 3 of your engagement sessions with your neighbourhood. The artist should be prepared to use input from the neighbourhood to create their draft design. Results are best when they present their design to the neighbourhood in person for feedback. The Core Team will also need to give HRM the draft design for approval. The artist will make themselves available for edits.

Do you have an artist secured? Have you had discussions with prospective artists?

Please elaborate.

What tasks will your artist take on?

9. Budget

Please include a financial breakdown of your project budget including materials and any artist or professional fees that may apply.

Please show the total cost of your project.
Description + Amount
Total

Budget Total:

The municipality gives access to $1,500 for each project accepted into the program. This usually does 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.

10. Applicant

I hereby make application for approval of Neighbourhood Placemaking project in partnership with the municipality with the full knowledge and authorization of the applicant group as identified on this form.

By checking this box, you are confirming you have reviewed the entire Neighbourhood Placemaking Information Booklet.

Applicant Name (Core Team Member):

Applicant Email Address: