ࡱ> ^a] bjbj 8Veef wttt8T+(aaa*******$,/r*taOaaa*_* aRt* a* V(@ hn)om;R( r**0+(x 0 0n) 0tn)aa aaaaa** aaa+aaaa 0aaaaaaaaa : BIRMINGHAM CITY COUNCIL LOCAL INNOVATION FUND Doing things differently in neighbourhoods to make better places to live WARD PROPOSAL FORM WARD ..INNOVATION TITLE .. Innovations have to meet the LIF priorities and add value to the City wide core priorities listed below. (Tick all those that apply) City Core Priorities LIF Priorities Children - a Great Citizens Independence & City to Grow Up In Well Being Jobs & Skills a great New approaches to investment City to succeed in Housing a great Active citizens & communities City to live in stepping up Health a great City Clean streets to lead a healthy & active life Improving local centres What is your innovative idea and how does it show collaborative, partnership working and active citizenship? Time Frame is it:- One off event/programme Implement and complete within 6 months (2016) Implement and complete within 12 months (2017) How will the innovation be implemented? What outcomes will the proposal achieve? What will success look like and how will its impact be measured? How will you ensure legacy/ continuation and what learning will the project provide?  Have you considered other sources of funding and whether the project can be used to leverage further funding from elsewhere (please specify funding sources)? What resources will be required? Capital Running costs People power volunteers Amount required from LIF Have you got any match funding in cash or in kind?Contact person for proposal Name .. Telephone E-mail .  Which residents or community groups was the proposal discussed with and when (please give details of any meetings and which councillors attended)? Discussed at Ward meeting . Date .Signatures of all 3 Ward Councillors Name .. Signature .. Date . Name .. Signature .. Date . Name .. Signature .. Date .Internal use only Received: Date . 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