*Have all monies received for initiatives in the past year been spent on the initiatives and are receipts available? (Answer Yes/No) (If no, please contact the office at jcsp@pdst.ie)?	

*Have all initiatives awarded in the past year been evaluated? (Answer Yes/No)	

*Name (Coordinator)	

*Lead Teacher for the initiative (if not the coordinator)	

*Email address

*Total number of students currently in JCSP	

*The year group(s) and number of students that you implemented the initiative with:

First Years (Male/Female)
Second Years (Male/Female)
Third Years (Male/Female)

*Please indicate, if you are Non-DEIS School		

*The initiative proposal should link to the targets in the school’s DEIS Action Planning document. Please choose the DEIS theme which the initiative seeks to support (multiple choice)
Literacy
Numeracy
Attainment
Progression
Attendance
Retention
Partnership with Parents
Partnership with Others

*Please describe the rationale for carrying out this initiative?	

*Please describe the anticipated improved learner outcomes after carrying out this initiative?	

*Please describe how you propose to implement this initiative?	

*List the JCSP statements (including cross curricular statements) you intend to use in conjunction with running this initiative? (Link with other SSE/DEIS Targets. Link across other subject areas)	

*Which domains of teaching and learning will this initiative impact on? (enter the domain number/s that are relevant) 
Domain 1: Learner Outcomes
Domain 2: Learning Experiences
Domain 3: Teacher’s Individual Practice
Domain 4: Teachers' Collective/Collaborative Practice

*How will you evaluate the success of the initiative? Please indicate which of the following you intend to use (Please link with your schools SIP/DEIS Plan) (Enter the number/s that apply)
1 JCSP statements awarded
2 Class assessments
3 Oral feedback from students
4 Student questionnaires/focus groups
5 Photographs/videos
6 Teacher feedback
7 Principal feedback
8 Other (please elaborate)

*What will the initiative grant money be spent on?

*Other (details)