Welcome to the Spaceshaper project application form.

Thank you for your interest in using Spaceshaper. To apply for a Spaceshaper project:

1. Complete this application form to give us information about you and your space. Questions marked (*) must be answered on your first visit.

2. Submit the form to us by clicking the button below

3. We will review your application and get back in touch if we need further information

4. Once we have enough information we will set up a Spaceshaper project for you, and send you details of how to get started

Click here to download our tips for delivering an inclusive workshop.

If you have any questions about the application process please call the Landscape Institute on 020 7685 2647.

About you A few details about you, so that we can contact you to talk about your application.
	1. Name (*):
	2. Email (*):
	3. Phone:
	4. You are:	the client setting this up on the client's behalf, e.g. a facilitator
If you are not the client, please give us a few details about them.
	5. Your client's name:
	6. Your client's organisation:
	7. Your client's email address:
	8. Your client's phone number:
	9. How did you find out about Spaceshaper?	Taster event Spaceshaper facilitator Colleague CABE website CABE regional representative CABE enabler Other (please specify)
	10. Is this:	a real project a dummy run (Spaceshaper only)
	11. Would you like to use:	Spaceshaper Spaceshaper 9-14 Both
About the space Some details of the space you wish to assess.
	12. Name of space (*):
	13. Approximate size:
	14. Is this a new or existing space?	New space Existing space
	15. What type of space is this? Please select any applicable types from the list, and provide more details of the overall space type at the end.
	Civic spaces - including civic and market squares and other hard surfaced areas designed for pedestrians, including streets Parks and gardens - including urban parks and formal gardens Natural and semi-natural urban greenspaces – including woodlands, scrub, grasslands, wetlands Green corridors – including river and canal banks, cycleways and rights of way Outdoor sports facilities Amenity greenspace (most commonly, but not exclusively in housing areas) Provision for children and teenagers – including play areas, skateboard parks, outdoor basketball hoops, and other more informal areas Allotments, community gardens and city farms Cemeteries and churchyards Accessible countryside in urban fringe areas i.e. country parks
	More details:
	16. Grid reference or address:
	17. When is this space open to the public? Please include any difference between summer and winter.
	18. Please provide a brief description of the site, including boundaries, facilities, events programmes etc.
	19. How much is the core funding per year?
	20. Has any grant recently been applied for or approved?
	Source Applied for Approved
	21. Does this space have any current awards?	Yes If so, please give details:
How the space is managed Some questions about how the space is managed and maintained.
	22. What organisations have a role in managing and maintaining this space? This might include the local authority, community groups, contractors, the Police etc.
	23. Is the direction of this space steered through any strategic document? eg. green or open space strategy?
	24. Does the management of this space comply with the authority's Local Agenda 21 policy or an environmental management system such as EMAS?
	25. More specifically, is thought given to the effects of climate change here? For example resilience to drought, planning for flood risk, change in plant and animal species (as appropriate).
	26. Is thought given to the environmental impact of the space? For example pollution reduction, resource conservation including water, recycling etc.
	27. Is there any one person who is driving the quality of this space?
	28. If so, how would you describe their role? Consider whether they are a local councillor, the parks manager, from a local pressure group, a local resident, etc.
	29. Please add any other comments in relation to the management and maintenance of the space.
About your project How you plan to use Spaceshaper to assess your space.
	30. How many Spaceshaper workshops do you anticipate holding?
	31. What is the approximate date/s of your workshop/s?
	32. What do you want to achieve from your Spaceshaper workshop/s? Select issues you are hoping to achieve, and provide details in the box below.
	identifying the strengths and weaknesses of a space comparing different people's views establishing what is most important to people measuring how well the space is meeting users needs tracking changes in people's perception over time stimulating new ideas for improvements setting priorities for a new space
	More details:
	33. How will your Spaceshaper workshop/s fit into your wider project?
	34. Who have you chosen as your Spaceshaper facilitator/s? Either select from our suggested facilitators, or enter the name of your facilitator into the space marked "other".
	Spaceshaper facilitator: Alex Allen Eric Andersen Phil Back Kenneth Barnsley Nigel Boldero Phil Chambers Yvonne Deane Jane Field Sue France Antony Geddes Pat Gilbey Elaine Goad Stuart Harding Annette Hards Julie Harrison Amy Harrison Paul Holdsworth Sue Jackson Bimal Kotecha Stefan Kruczkowski Katie Lea Catherine Lester Christine Leung Debbie Lucas Mary McHugh Andrea Mercer John Minett May Molteno Sue Morgan Andrew Parsons Ian Phillips David Pierce Ian Richardson Shibboleth Shechter Phil Smith Richard Smith Michael Sterry Jessica Thompson Vaughan Thompson Tracy Umney Sarah Wang Michael Westley Katie Wilson Chris Wynne Stuart Younger Other: CRB / ISA number:
	Spaceshaper 9-14 facilitator: Eric Andersen Lowri Bond James Burke Caf Fean Jane Field Tracey Franklin Catherine Goodacre Catherine Greig Steven Grisag Annette Hards Amy Harrison Stephanie Hawke Jaki Howes Sarah Hubbard Emma Kench Christine Leung Jasia McArdle Andrea Mercer May Molteno Paula Moss Anna Plant Stefanie Stead Kay Stringfellow John Paul Taberdo Liani Van Der Westhuizien Sarah Wang Michael Westley Angus Willson Mia Witham Chris Wynne Other: CRB / ISA number:
	It is the responsibility of the client to check the Spaceshaper facilitator's CRB (or ISA registration when appropriate) if they will be working with children or vulnerable adults. Information is available from the ISA website.
	35. What stakeholders have you identified to invite to the event/s?
	36. Other details. Please use this space to give us any other details you feel haven’t been covered in this form.