Participatory Budget Idea Submission Form

Participatory Budget Idea Submission Form

Please use the form below to provide information about your idea for funding and how you can be contacted.
SECTION 1: Applicant Information
Applicant Name((If applying as an individual, specify your name)
Contact Person((Name, Title)

PrefixFirst NameLast Name
Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
District/Area:

2nd DistrictOther(List District/City)
SECTION 2: Project Title and Summary
Project Name
Provide a brief summary of your proposal, including its purpose, key activities, and intended outcomes:*
Limit to 300 words
SECTION 3: Project Description
A. Background and Rationale: What community need or problem does your project address? Provide context and supporting data.
B. Activities and Implementation Plan: Describe major activities and who’s involved. Include a timeline (start–end dates), milestones, and roles of staff/partners.
C. Expected Outcomes and Impact: Describe anticipated benefits to the community. How will success be measured? (Include quantitative and qualitative indicators.)
SECTION 4: Budget and Funding Request
A. Budget Summary

Type a question

B. Total Funding Requested:
C. Other Funding Sources: List other secured or pending funds/in-kind contributions:
SECTION 5: Community Engagement and Inclusiveness
How will you engage community members, including diverse/marginalized groups? What outreach and feedback strategies will you use?
SECTION 6: Sustainability and Long-term Impact
How will the project continue after the grant period? Describe any plans for future funding, volunteer support, or policy integration.
SECTION 7: Attachments
Type a question

Letters of SupportProject Timeline (e.g., Gantt chart)Additional Documentation
Declaration and Signature

I, the undersigned, affirm the information provided is accurate and that I will adhere to all grant requirements. I understand funding is subject to review and approval.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty: