Your Neighbour Activation Scheme

This is a preview of the Your Neighbour Activation Scheme Application Form form. When you’re ready to apply, click Fill Out Now to begin.
 
 

Your Neighbour Activation Scheme Application Form

* indicates a required field.

Privacy Notice

We pledge to respect and uphold your rights to privacy protection under the Australian Privacy Principles (APPs) as established under the Privacy Act 1988 and amended by the Privacy Amendment (Enhancing Privacy Protection) Act 2012. To view our privacy statement, go to City of Belmont website. 

Applicant Details

Use the arrow keys to navigate suggestions. Press Enter to select a suggestion. Start typing a name or address to see prefill options.
Must be an Australian phone number. 
Must be an email address. 
How did you hear about the scheme? Select all that apply * Required
Response required.Response required.
Have you received a grant from the City of Belmont before? * Required

Tell us about your gathering?

Must be a date. 
How many neighbours will you invite? * Required
Response required.Response required.
At least 4 households required
Where on the property will the gathering be held? * Required
Response required.Response required.
Gatherings are not permitted in backyards, on road verges, or on public roads
Please select the expenses you are seeking reimbursement for * Required
Response required.Response required.
To support the local business community, the City will only reimburse items that were purchased from shops and businesses located within the City of Belmont
Do you want to invite the Mayor or Councillor to your gathering?

Terms and conditions

I would like to know more about the City's crime prevention programs and initiatives * Required
I have read and agreed to the "Your Neighbour Activation Scheme" terms and conditions * Required
 
 

The City of Belmont acknowledges the Noongar Whadjuk people as the Traditional Owners of this land and we pay our respects to Elders past, present and emerging. We further acknowledge their cultural heritage, beliefs, connection and relationship with this land which continues today.

We acknowledge all Aboriginal and Torres Strait Islander peoples living within the City of Belmont.

We wish to advise Aboriginal people that this site may contain the names, images or audio-visual recordings of people who have passed away.