Online Application Submit ActivateYYC 2022 Online Application Walk, Play, and be Neighbourly Stream Bump outs and pathways stream Walk, play, be neighbourly - ActivateYYC 2022 Application Form 1. Provide your contact information Name: Email: Phone Number: 2. Provide the contact information of the organization/business you are working with Organization's Name: Ward: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Ward: Email: Phone Number: Mailing Address: 3. Provide a written description of your idea that will help people walk, play, and be neighbourly? 3.1 What is your idea? 3.2 How will this activate or engage your community? Be specific to the Walk, Play and Be Neighbourly guidelines. 4. How you will go about achieve your ActivateYYC project? 4.1 Who will be involved in planning the project? 4.2 What are the steps you need to take to launch a successful project (your project plan)? 4.3 How will you get people to participate in your project? Think about how you will reach out to people that are not normally involved.. 4.4 Where will this project happen? 4.5 What permission, if any, is needed from the owner of the space or City permits? How will you get permission? (if your project is on public land you will need to obtain a permit) 5. What does success look like How will you know your project was successful? How many people will utilize your ActivateYYC project? 6. Provide a budget on how you want to allocate resources towards your idea (maximum grant $1,000) Revenue – how much money will you raise? How much money are you needing from ACTIVATEYYC? **Please attach a separate excel file * Drop a file here or click to upload Choose File Maximum upload size: 16.38MB 7. Optional Video: You could submit a video answering the question above instead of in written format! We do require a written budget. Please make sure you answer all the questionslisted above. OR, you may also include a video of you and your team in addition to your written application! Drop a file here or click to upload Choose File Maximum upload size: 16.38MB If you are human, leave this field blank. Submit Bump outs and pathways - ActivateYYC 2022 Application Form 1. Provide your contact information Name: Email: Phone Number: 2. Provide the contact information of the organization/business you are working with Organization's Name: Ward: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Ward: Email: Phone Number: Mailing Address: 3. Provide a written description of your idea that will bump out and intersection or improve a pathway? What is your idea? Location (limitation to bump outs to residential streets only i.e. no buses on the street)) What is the exact address of the intersection or pathway? What is the exact address of the intersection or pathway? What is the exact address of the intersection or pathway? What is the exact address of the intersection or pathway? City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Why is this location ideal? What are the challenges that you are trying to address? 4. How you will go about achieve your ActivateYYC project? 4.1 Who will be involved in planning the project? 4.2 What are the steps you need to take to launch a successful project (your project plan)? 4.3 How will you get people to participate in your project? Think about how you will reach out to people that are not normally involved.. 4.4 This project will require city permission. Who have you spoke to and what permissions are needed to be successful? (If you don't know, please indicate?) 4.5 How will activating a bump out or pathway impact the neighbourhood in terms of safety, mobility, traffic calming, etc.? 5. What does success look like How will you know your project has been successful? 6. Provide a budget on how you want to allocate resources towards your idea (maximum grant $3,000) Revenue – how much money will you raise? How much money are you needing from ACTIVATEYYC? **Please attach a separate excel file * Drop a file here or click to upload Choose File Maximum upload size: 16.38MB 7. Optional Video: You could submit a video answering the question above instead of in written format! We do require a written budget. Please make sure you answer all the questionslisted above. OR, you may also include a video of you and your team in addition to your written application! Drop a file here or click to upload Choose File Maximum upload size: 16.38MB If you are human, leave this field blank. Submit
