* 1. Your name

* 2. Email

* 3. Phone number

* 4. How did you hear about the BRICK workshop?

* 5. Name of the heritage regeneration project with which you are involved (if you're not associated with a specific project, put N/A)

* 6. Project town/city (if you're not associated with a specific project, put N/A)

* 7. Project postcode (if you're not associated with a specific project, put N/A)

* 8. What is your role within the project?

* 9. Do you have a project website? If yes, please provide the website address details.

* 10. Do you use social media to promote your project? If yes, please give website address details (for Facebook, Twitter, LinkedIn, etc.).

* 11. What is your project's approximate total annual income from trading, donations, fundraising and so on?

* 12. What communities does your project currently serve? Who is your specific target audience for the future, for example, a particular ethnic group or people with disabilities?

* 13. How is your heritage project currently used? What will it be used for in the future?

  Retail Commercial Residential Hospitality Events and conferences Community Storage Heritage visitor attraction Other – please specify No current use/unknown future use
Current use
Future use

* 14. How much funding have you already secured?

* 15. How much further investment is needed in order to complete your project?

* 16. How confident do you currently feel about:

  1 - Not confident 2 3 4 5 - Very confident
Knowing where to look and applying for funds from private sources (including trusts and foundations)
Making the case for your heritage project to funders
Social investment
Knowing how to approach social investment funders

* 17. What are you hoping to get out of this workshop?

* 18. Do you have any questions related to the above themes that you would like to ask?

* 19. Please let us know if you don't want to be signed up for BRICKwork.

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