Survey of Education
SURVEY OF EDUCATION
CIRCUIT OFFICE 2012
1 / LOCATION OF EDUCATION CIRCUIT OFFICE1.1 / District name
1.2 / Circuit name
Postal address
SAPO* Village
PO Box
Private bag
Post Office
Postal Code
1.3 / Physical Address
Building
Street Address
Town or City
Postal code
2 / CIRCUIT MANAGER’S DETAILS
2.1 /
Initials
/ 2.2 /Title (Please tick)
/Miss
/ Ms / Mrs. / Mr. / Dr2.3 / Surname
2.4 / ID number
2.5 / Persal Number
2.6 / Telephone Number
2.7 / Post level
2.8 / Academic Qualifications
2.9 / Professional Qualifications
2.10 / Number of years in the current post
2.11 / Fax Number
2.12 / Cell Phone Number
2.13 / Email address
3 / Staffing levels – CS Educator Staff BASED AT CIRCIUT OFFICE
3.1 / Number of CS Educator staff based at education circuit office by post level, gender and type of employment.
Post Level / Permanent / Seconded / Temporary / Substitutes
Male / Female / Male / Female / Male / Female / Male / Female
1
2
3
4
5
6
7
8
9
10
11
12
Total
3.2 / Number of CS Educator staff based at education circuit office by post level, population group and gender.
Post Level / Black / Coloured / Indian / White / Other / Total
Male / Female / Male / Female / Male / Female / Male / Female / Male / Female / Male / Female
1
2
3
4
5
6
7
8
9
10
11
12
Total
3.3 / Number of vacant CS educator posts based at education circuit office by post level
Post Level / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / Total
Number
3.4 / Number of CS educators based at education circuit office by salary level
CES / DCES / SES / Total
Filled / Vacant / Filled / Vacant / Filled / Vacant / Filled / Vacant
Number
4. / Staffing levels – Public Service Administrative Staff(non-CS Educators)
4.1 / Number of public service staff based at circuit office by salary level, appointment and gender
Salary Level / Permanent / Seconded / Temporary / Substitutes
Male / Female / Male / Female / Male / Female / Male / Female
1
2
3
4
5
6
7
8
9
10
11
12
Total
4.2 / Number of public service staff based at education circuit by salary level, gender and population group
Salary Level / Black / Coloured / Indian / White / Other / Total
Male / Female / Male / Female / Male / Female / Male / Female / Male / Female / Male / Female
1
2
3
4
5
6
7
8
9
10
11
12
Total
4.3 / Number of vacant public service staff posts based at education circuit office by salary level.
Salary Level / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / Total
number
5. / Resources
5.1 / Number of resources used at the education circuit office according to the below mentioned categories. / Functional / Non-
Functional
5.1.1 / Motor Vehicles (POOL VEHICLES)
5.1.2 / Motor Vehicles (SUBSIDISED)
5.1.3 / Photocopiers
5.1.4 / Copy Printers
5.1.5 / Computers
5.1.6 / Computer printers
5.1.7 / Fax machines
5.1.8 / Telephone handsets linked to PABX system
5.1.9 / Telephone handset not linked to PABX system
5.1.10 / Number of intranet access points
5.1.11 / Number of email access points
5.2 / Number of physical infrastructure resources at the circuit office according to below mentioned categories. / Number
5.2.1. / Offices
5.2.2. / Strong Rooms
5.2.3. / Conference room
5.2.4. / Computer Training Centres
5.2.5. / Storage Rooms
5.2.6. / Chairs
5.2.7. / Desks / Tables
5.2.8. / Cupboards / Cabinets
5.2.9 / Other
…………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………..
6. / Access to schools.
6.1. / Average distance of schools from the district (in km)
6.2. / Distance by road of the furthest school from the district (in km)
6.3 / Distance by road of the closest school from the district (in km)
6.4. / Average time to reach a school by car in ‘normal’ weather conditions (in hours) / Hours / Minutes
6.5. / Total number of schools not accessible by road in the district
6.5.1. / Primary schools
6.5.2. / Secondary schools
6.5.3. / Combined schools
6.5.4. / Intermediate schools
6.5.5. / Independent schools
*CIRCUIT 2012-1*
EMIS NUMBER7 / SUBJECT ADVISOR INFORMATION BASED AT CIRCUIT OFFICE
7.1 / LIST OF FOUNDATION PHASE SUBJECT ADVISORS BASED AT CIRCUIT OFFICE
Surname and Initials / ID Number / Rank (CES, DCES, SES, etc) / Contact Details / Number of years in the post / Area of support (Subject/s) / Qualifications
Telephone / Email Address / ACADEMIC / MAJOR SUBJECTS / PROFESSIONAL / MAJOR SUBJECTS
7.2 / LIST OF INTERMEDIATE PHASE SUBJECT ADVISORS BASED AT CIRCUIT OFFICE
Surname and Initials / ID Number / Rank (CES, DCES, SES, etc) / Contact Details / Number of years in the post / Area of support (Subject/s) / Qualifications
Telephone / Email Address / ACADEMIC / MAJOR SUBJECTS / PROFESSIONAL / MAJOR SUBJECTS
7.3 / LIST OF SENIOR PHASE SUBJECT ADVISORS BASED AT CIRCUIT OFFICE
Surname and Initials / ID Number / Rank (CES, DCES, SES, etc) / Contact Details / Number of years in the post / Area of support (Subject/s) / Qualifications
Telephone / Email Address / ACADEMIC / MAJOR SUBJECTS / PROFESSIONAL / MAJOR SUBJECTS
7.4 / LIST OF FET BAND SUBJECT ADVISORS BASED AT CIRCUIT OFFICE
Surname and Initials / ID Number / Rank (CES, DCES, SES, etc) / Contact Details / Number of years in the post / Area of support (Subject/s) / Qualifications
Telephone / Email Address / ACADEMIC / MAJOR SUBJECTS / PROFESSIONAL / MAJOR SUBJECTS
*CIRCUIT 2012-1*
EMIS NUMBER8. / Access to schools
Please supply the following information pertaining to access to schools in the circuit
8.1 / Average distance of schools from the circuit (in km)
8.2 / Distance by road of the furthest school from the circuit (in km)
8.3 / Distance by road of the closest school from the circuit (in km)
8.4 / Average time to reach a school by car in ‘normal’ weather conditions (in hours) / Hrs / Min
8.5 / Total number of schools not accessible by road in the circuit
8.5.1 / Primary schools
8.5.2 / Secondary schools
8.5.3 / Combined schools
8.5.4 / Intermediate schools
8.5.5 / Farm schools
8.5.6 / Independent schools
DECLARATION
I certify that the information provided on this form is to the best of my knowledge and belief correct and complete.
Circuit Manager
....…………...... ……...... …… ......
Surname and initials Signature Date
I certify that the information provided on this form is to the best of my knowledge and belief correct and complete
*CIRCUIT 2012-1*