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Appendix 3: Application Form
Adult Community Tutor Teaching Hours

Date:                                                           

URGENT

Dear Co-ordinator,

I would be very grateful if you would complete the enclosed ANNUAL [ALCE] Community Education REPORT on the activities funded out of the VEC allocation of teaching hours made to your centre by the Adult Education Board for the year -

·       It is expected that due care will be given in the writing of the report which may be used in statistics and reports by the City of Cork VEC to the Department of Education & Science and others.

·       Please note that the Adult Education Board of the City of Cork VEC will shortly be considering applications for the year.

·       As in previous years, the continuance of this worthwhile Adult Community Education Service is dependent on the Department of Education making adequate resources available.

·       Please complete the report form and consider the courses you intend to hold in the context of your request for teaching hours, which may need to be adjusted once your allocation is known.

Ø      Section 1. General information

Ø      Section 2. Inputs

Ø      Section 3a. Report on other sources of educational funding to your centre

Ø      Section 3b. Report on the current Officers and committee members of your organisation

Ø      Section 4. Outcomes and effects

Ø      Section 5. Report on the courses “held” in the year…

Ø      Section 6. Report on the courses "planned” for the year…

Please submit the report BY RETURN on the enclosed forms, an allocation to your organisation will be formally confirmed, only on receipt of your report.

 I, Remain, Yours Sincerely, Brian Bermingham. AEO

 

Section one-GENERAL INFORMATION

 

Name of Organisation

 

 

 

Educational Co-ordinator

 

 

Full Address

 

 

 

 COMMUNICATION

 

Telephone number

 

Mobile phone number

 

Fax

 

e-mail address

 

Web Site

 

STATISTICAL DATA

 

VEC/AEB Allocation-*

 

Hours used-*

 

Counted ONCE – the number of adults who attended VEC courses

Male                        Female                              Total

One adult doing two or more courses should be counted as one.

 

Request for hours in -

 

 

 

 

Signature                                                                                                          Date

 

 

Please note

TO EXISTING CENTRES: This annual report must be returned before your allocation for

                                                    Is confirmed.        

TO NEW APPLICANTS: Thank you for your application, please return this form ASAP

 

Section two - INPUTS

PLEASE GIVE A SHORT HISTORY OF YOUR ORGANISATION:

 

 

 

  

OUTLINE THE AIMS, OBJECTIVES, AND PURPOSE OF YOUR ORGANISATION?

 

 

 

  

WHAT GROUPS & INDIVIDUALS WILL YOU TARGET?

 

 

 

 

 

WHAT ARE YOUR PRIORITIES?

 

 

 

 

 

HOW DO YOU ATTRACT ADULT LEARNERS INTO YOUR CENTRE?

 

 

 

 

 

 

 

Section 3a: FUNDING:

 

Source of funding

 

Amount

 

Purpose applied.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3b: MANAGEMENT STRUCTURE of the organisation using the VEC allocation.

 

Officers & Committee

 

Address & Telephone Number

 

Chairperson:

 

 

Secretary:

 

 

Treasurer:

 

 

Member

 

 

Member

 

 

Member

 

 

Member

 

 

 

 

 

 

 

 

 

 Section 4. -OUTCOMES

WHAT OUTCOMES DO YOU EXPECT?

 

 

 

 

 

HOW WILL THE EVALUATION & EFFECTIVENESS OF THE PROGRAMME BE ASSESSED?

 

 

 

 

 

 

WHAT DO YOU EXPECT THE EFFECTS ON THE LOCAL COMMUNITY TO BE?

 

 

 

 

 

 

 

 

OPTIONAL ADDITIONAL COMMENTS

 

  

 

 

 

 

Section 5.COURSES COMPLETED

Please LIST THE COURSES, in the following format…HELD IN -

[Photocopy as necessary]

 

 

Number of Students

Duration-Hrs per wk

VEC COURSE TITLE
VEC TUTORS

Fem

Male
Total

Hrs

Wks

Total

 
                 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 6. COURSES PLANNED & FUNDING APPLICATION

Please LIST THE COURSES in the following format…PLANNED FOR -

[Photocopy as necessary]

 

 

Number of Students

Duration Hrs per wk

VEC COURSE TITLE

VEC TUTORS

Fem

Male

Total

Hrs

Wks

Total