form sle - assets.gov.ie
TRANSCRIPT
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
SLE Form
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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.
SLE Form
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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
SLE Form
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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
SLE Form
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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
SLE Form
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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.
SLE Form
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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
SLE Form
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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
SLE Form
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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)
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___
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___
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___