PREAMBLE:

Participatory Budgeting is a democratic process in which community members directly decide how to spend part of a public budget. The process was first developed in Brazil in 1989 and is now practiced in over 1,500 cities around the world.

The City of Victoria is making available $50,000 to participatory budgeting projects that are voted upon by the public. These projects may be implemented by the City of Victoria, a nonprofit organization, or citizens of Greater Victoria depending upon the nature of the project. The first step is for members of the public to submit a simple description of a proposed project. 1) This proposal form is provided to facilitate this first step; 2) City-feasibilityscreening;3)Voting-morethanoneprojectmaybechosenforimplementation.

HOW TO PUT FORWARD A PROPOSAL:

Complete the application form in its entirety and send to later than midnight on September 28, 2017.

CONTACT INFORMATION:

InformalGrouporIndividual(notregisteredasanot-for-profitorganization),orNot-for-Profit Organization

Contact Name:

Organization Name: (ifapplicable) Mailing Address: Telephone:

Email:_

PROJECT TITLE:

PROJECT DESCRIPTION: Please describe your proposed project.


IMPLEMENTATION: How do you envision your proposed project being implemented? Who would implement the project?


BENEFITS: How will your proposed project benefit the community, and why should people vote for it?


CHALLENGES: What challenges do you anticipate during and following implementation?


PROJECT TIMELINE:

Startdate:Completiondate:

(Projects must be completed within one year of being selected)

PROJECT LOCATION

Address:

PROJECT COST: Please provide a rough estimate for implementing your proposed project.

Whatisthetotalcostoftheproposedproject(includinginkindlabouranddonatedgoodsandservices):$

Amount requested from the Participatory Budgeting fund:$

Please complete the following budget. Note that budget items are rough estimates only and need not be accurate or final.

PROJECT BUDGET:

Total Project Budget / Cost
TOTAL REQUESTED / $

Note: In-kind contributions can be included as an ‘other source’. DECLARATION:

I certify that the information given in this proposal is correct. I agree to the following terms:

1.TheprojectproposalmeetsalltheeligibilityrequirementsoftheParticipatoryBudgetingRulebook.

2.The project will be in compliance with all applicable municipal policies, bylaws and requirements of the City of Victoria respecting use of Cityproperty.

3.IprovidetheCityofVictoriapermissiontosharedetailsofthisproposaltothepublicandthird-partyorganizations.

4.I acknowledge that information contained in this proposal will become a matter for the public record and is subject to disclosureunder the Freedom of Information and Protection of PrivacyAct.

Date:

Applicant/Organization Lead Name:

Signature(s):

laterthanmidnightonSeptember28,2017.Applicantsmay becontactedforfurtherinformation.Feelfreetoemailuswithanyquestions!

SAMPLE BUDGET: Example of project expenses for a neighbourhood tool shed

Total Project Budget / Cost
Mark Johnson design fees: $75 per hour x 5 hours prep / $375
Lumber and materials for tool shed construction / $1300
Concrete pour for foundation / $500
Professional services for window installation / $500
Stain and trim paint / $250
Tool purchase for shed / $1575
Project retirement (if necessary) / N/A
15% maintenance contingency of total budget ($1500 max) / $500
$10,000
Items Provided by Other Sources to Enhance the Project (optional) / Cost
50 hours Volunteer labour @ $20 per hour / $1000
15 hours Professional Services labour @ $40 per hour / $600
15 hours of power equipment rental from Home Depot @ $25 per hour / $375
10 sheets of plywood, 30 2x6’s donated materials / $700
Community Centre room rental for meetings 3 @ $50 per meeting / $150
Money raised from neighbourhood ice cream social / $500
Fiskars tool grant / $450
Money donated from Neighbourhood association / $1200
TOTAL CONTRIBUTION FROM OTHER SOURCES / $5000

VOLUNTARY DISCLOSURE (OPTIONAL)

Please note: Information collected in this section will not be used in the assessment of the proposal. Data collected will be used to inform the Participatory Budgeting Steering Committee and the City of Victoria of the communities we are reaching with our engagement initiatives.

Results will be used to promote diversity and equality in future project planning! Thanks for participating!

How did you hear about the Participatory Budget Project?

FacebookPosterCity ofVictoriaWebsiteNeighbour/Friend/FamilyOther:

Age: 1414-1819-24 25-3435-4445-5455-6465+Choose not todisclose

Member of designatedminority group:WomenAboriginalPerson withadisabilityVisibleMinority

Neighbourhood of Residence:

BurnsideGorgeFernoodNorthJubileeRocklandsOther municipality within theCRD

Pleasespecify:.

Downtown-Harris Green

HillsideQuadraNorthPark SouthJubileeOutsideCRD

Fairfield-GonzalesJamesBayOaklandsVictoriaWest Nomadic