Individual Participation Form Name Email Address Phone Number Organisation What challenge or challenges would you like to address through your participation in the Civic Innovation Programme? Challenges may relate to a specific social, economic or environmental issue or to barriers to public participation more broadly. What ideas do you have for how these challenges could be addressed? Following submission of your expression of interest we will be in touch within 4 weeks. Please ensure you also register to attend Democracy Day on 29th January 2020 where you will have an opportunity to share your idea(s) with other participants. Failure to attend this event will mean your idea cannot progress further through the programme. You can register for Democracy Day here.