form sle - assets.gov.ie

12
SLE Form Page 1 of 12 APPLICATION FOR GRANT AID FOR MAJOR CAPITAL WORKS FOR SECOND LEVEL SCHOOLS FORM SLE Please forward a copy of the Enrolment Policy of your school (see section 15 (2)(d) of the 1998 Education Act) with this application. School Capital Appraisal Section, Portlaoise Road, Tullamore, Co. Offaly Telephone 057 9324300 PART 1: SCHOOL DETAILS School Name: School Address: School Roll No School Telephone No School e-mail address 1.1 Please give details of contact person Name Role in school Phone number

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Page 1: FORM SLE - assets.gov.ie

SLE Form

Page 1 of 12

APPLICATION FOR GRANT AID FOR

MAJOR CAPITAL WORKS

FOR SECOND LEVEL SCHOOLS

FORM SLE

Please forward a copy of the Enrolment Policy of your school (see

section 15 (2)(d) of the 1998 Education Act) with this application.

School Capital Appraisal Section,

Portlaoise Road, Tullamore, Co. Offaly

Telephone 057 9324300

PART 1: SCHOOL DETAILS

School Name:

School Address:

School Roll No School Telephone No

School e-mail address

1.1 Please give details of contact person

Name

Role in school

Phone number

Page 2: FORM SLE - assets.gov.ie

SLE Form

Page 2 of 12

PART 2: PROJECT DETAILS

2.1 Please state type of accommodation required and why it is necessary Please attach an additional sheet if necessary

Type: Please give details

New Building

Can existing site host new building if sanctioned? In the event that an alternative site

is sanctioned, state proposed future use of existing school. Is it available to the

Department for educational use?

Extension

Extensive refurbishment/conversion works, please give details:

Specialised facilities, please give details:

Other, please give details:

In the opinion of the Board of Management a band rating of __________should be allocated to

this proposed project.

Please refer to the Amended Criteria for Prioritising Large Scale Projects (Primary and Post Primary)

which is available on the website www.education.ie and outline why you consider this banding to be

appropriate.

Page 3: FORM SLE - assets.gov.ie

SLE Form

Page 3 of 12

PART 3: ENROLMENT DETAILS

3.1 Please outline enrolment details:

Junior

Cycle TY

Senior

Cycle

Current enrolment as at 30 September 20__

Student intake in current school year 20__/20__

Number of students who left last school year 20__/20__

3.2

Does enrolment policy give priority to students from within your catchment

area? Yes No

If students are enrolled from outside your catchment area please provide details of pupil

numbers and school source outside catchment area from which pupils are drawn

Year Number of Pupils Name and address of Primary School(s) Roll Number(s)

Junior 1

Junior 2

Junior 3

TY

Senior 1

Senior 2

Please explain why students are enrolled from outside your catchment area Please attach an additional sheet if necessary

Page 4: FORM SLE - assets.gov.ie

SLE Form

Page 4 of 12

3.3 Medium/Long Term Projected Enrolment

Please indicate your assessment of the school’s medium term (up to 5 years) and long-term

(7 – 10 years) projected enrolment for mainstream pupils (Junior/TY/Senior Cycle) with explanation:

Medium term enrolment projection Long term enrolment projection

Basis for this assessment:

Please attach an additional sheet if necessary

3.4 Please comment on the possibility of amalgamation with other schools in the area

Please attach an additional sheet if necessary

Page 5: FORM SLE - assets.gov.ie

SLE Form

Page 5 of 12

PART 4: EXISTING ACCOMMODATION

4.1 School Building – please provide details or tick √ as appropriate

Year that school was built

Lease dates from _________________ to ____________________

Approximate gross area of permanent school building at ground floor level _____________m²

If extended at any

time, give details and

state year of

extension(s).

If refurbished at any

time, give details and

state year of

refurbishment

Total area of site _____________________________________Hectares/acres delete as appropriate

Is the school single storey? Yes No

Is the school building suitable for a permanent

extension? Yes No

4.2 Please provide details of any specific infrastructural difficulties presenting at the school Please attach an additional sheet if necessary

If you wish you may include a copy of any recent technical report you may have on the

building(s) or site and photographs to support application

4.3 Please tick yes or no to the following questions

Are your school building(s), grounds or other features listed for protection as

architectural heritage in the current Development Plan prepared by the Local

Authority?

Yes No

Are your school building(s), grounds or other features being considered or

likely to be considered for protection as architectural heritage by the Local

Authority?

Yes No

Has your school been tested for

Asbestos

If Yes by who___________________ and when__________________

Yes No

Radon

If Yes by who___________________ and when__________________

Yes No

Page 6: FORM SLE - assets.gov.ie

SLE Form

Page 6 of 12

4.4 Please give details of existing accommodation, current use and utilization levels. (If any of the

accommodation is rented please give details of annual rent- please attach an additional sheet if necessary)

Actual

size m2

Number of

permanent

general

classrooms

Comment on use of each room as applicable e.g. Science, Home Economics, Engineering/Metal Technology, etc

See *

below

Actual

size m2

Number of

prefabricated

classrooms

Current use of each e.g. Science, Home Economics,

Engineering/Metal Technology, etc

Monthly Rent If applicable

See *

below

4.5 If the school uses any other premises please give details

Actual

size m2 Details of rooms Current use of each

Monthly Rent If applicable

See *

below

* calculate and enter a percentage figure for the occupancy level of each room based on weekly use.

Page 7: FORM SLE - assets.gov.ie

SLE Form

Page 7 of 12

4.6 Other accommodation not included above. Please tick √ and enter number and m2 (If rented

please give details – please attach an additional sheet if necessary)

Yes m² Rental Details (if applicable)

Principal’s Office

Assistant Principals Office

General Office(s)

Staff Room

Physical Education Hall

Library

Pastoral Offices

Others (Please specify)

4.7 Teaching periods

Total number of teaching periods per week

Page 8: FORM SLE - assets.gov.ie

SLE Form

Page 8 of 12

PART 5: MAINTENANCE PROGRAMME

5.1 Give details of maintenance programme in place Please attach an additional sheet if necessary

Please √ as appropriate

Do you have a cyclical repair/maintenance programme for the following Yes No

Painting?

External fabric of the building?

Renewing floor finishes?

Mechanical and electrical including boiler maintenance?

Average annual amount over last five years spent on maintenance €

Sources from which maintenance is funded

Additional information on maintenance programme

Page 9: FORM SLE - assets.gov.ie

SLE Form

Page 9 of 12

PART 6: LEGAL ISSUES

Please give details of title as follows:

6.1 Ownership

Who holds title to the land on which the school is built?

Name: Address:

1:

If there is more than one owner please continue below:

2:

3:

6.2 Title interest – please √ as appropriate

Is title held in freehold interest? Yes No

Is title held in leasehold interest? Yes No

Please note:

Information provided is subject to the Freedom of Information Act 2014

Remember to include a copy of the enrolment policy of your school with this application

(see section 15 (2)(d) of the 1998 Education Act)

Page 10: FORM SLE - assets.gov.ie

SLE Form

Page 10 of 12

DECLARATION

Categories of Schools:

(a) Voluntary Secondary Schools

(b) Education & Training Board Schools

(c) Community or Comprehensive Schools

(a) Voluntary Secondary Schools complete the following declaration and

certification.

I hereby make this application to the Department of Education & Skills for capital

funding for accommodation outlined in this application.

I certify that all of the information given in this application is true and complete to the

best of my knowledge and any material change in circumstances will be notified

immediately to the Planning and Building Unit of the Department of Education and

Skills.

In accordance with Section 15 of the Education Act 1998, I certify that the Board of

Management has consulted with the Patron/Trustees and the Patron/Trustees has/have

examined the completed application form and agree/s to the application being made.

I have read this document relating to the Scheme for Capital Funding and I am aware

of and agreeable to the condition that if this application is successful and results in

capital funding being provided; that this funding must be secured legally.

I understand and declare that this application is made subject to contract and does not

constitute, form part of or give rise to an agreement or contract with the Minister for

Education and Skills.

Completed by ___________________________ (block letters) Chairperson,

Board of Management of __________________________________________,

Roll Number ___________________.

Signed: ______________________________

Date:___/______/ 20___

Page 11: FORM SLE - assets.gov.ie

SLE Form

Page 11 of 12

(b) Education and Training Board Schools complete the following declaration

and certification.

I hereby make this application to the Department of Education & Skills for capital

funding for accommodation outlined in this application.

I certify that all of the information given in this application is true and complete to the

best of my knowledge and any material change in circumstances will be notified

immediately to the Planning and Building Unit of the Department of Education and

Skills.

In accordance with Section 15 of the Education Act 1998, I certify that this application

is being made after consultation with and with the agreement of the Board of

Management of ____________________________________________

_______________________________________ (insert school name) and with the

approval of __________________________________ Education & Training Board.

I have read this document relating to the Scheme for Capital Funding and I am aware

of and agreeable to the condition that if this application is successful and results in

capital funding being provided; that this funding must be secured legally.

I understand and declare that this application is made subject to contract and does not

constitute, form part of or give rise to an agreement or contract with the Minister for

Education and Skills.

Completed by ___________________________ (block letters) Chairperson,

Board of Management of ___________________________________________,

Roll Number ___________________.

Signed: ______________________________

Date:___/______/ 20___

Approved by _________________________ (block letters) Chief Executive

Officer of ____________________________ Education and Training Board.

Signed: ______________________________

Date:___/______/ 20___

Page 12: FORM SLE - assets.gov.ie

SLE Form

Page 12 of 12

(c) Community or Comprehensive Schools complete the following declaration and

certification.

I hereby make this application to the Department of Education & Skills for capital

funding for accommodation outlined in this application.

I certify that all of the information given in this application is true and complete to the

best of my knowledge and any material change in circumstances will be notified

immediately to the Planning and Building Unit of the Department of Education and

Skills.

In accordance with Section 15 of the Education Act 1998, I certify that the Board of

Management has consulted with the Patron/Trustees and the Patron/Trustees has/have

examined the completed application form and agree/s to the application being made.

I have read this document relating to the Scheme for Capital Funding and I am aware

of and agreeable to the condition that if this application is successful and results in

capital funding being provided; that this funding must be secured legally.

I understand and declare that this application is made subject to contract and does not

constitute, form part of or give rise to an agreement or contract with the Minister for

Education and Skills.

Completed by ___________________________ (block letters) Chairperson,

Board of Management of __________________________________________,

Roll Number ___________________.

Signed: ______________________________

Date:___/______/ 20___