Application to become an educator

Queanbeyan Family Day Care reserves the right to recruit educators who are flexible with the days they are willing to operate a service as well as the number and age of children they are prepared to care for.

Full name *

Address *

Email Address *

Please enter the best number to contact you on *

Is this a silent phone number? *

YesNo

Date of birth *

Country of birth *

Ethnic group

Primary language *

Previous occupation *

Are you currently working? *

YesNo

Partner's details

Do you have a partner?

YesNo

Partner's full name

Partner's occupation

Hours of work (times from and to)

Partner's email address

Partner's phone number

Partner's date of birth

Your children's details

Do you have any children?

YesNo

Child 1 details - full name, date of birth and pre-school/school attended

Child 2 details - full name, date of birth and pre-school/school attended

Child 3 details - full name, date of birth and pre-school/school attended

If you have more children enter their details below

Qualifications/relevant work experience

Do you have any qualifications in childcare/nursing/relevant fields? It is a minimum requirement to have a Certificate III in Early Childhood Education and Care (please ensure a copy is attached). *

Upload proof of your qualifications

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What is your previous employment history (particularly in relation to childcare) *

Have your services ever been terminated by a previous employer? *

YesNo

If yes, please provide brief details *

Do you have a current first aid certificate? *

YesNo

If yes, please provide details of training provider

Date completed

Expiry date

Is the CPR component of your First Aid certificate current? (i.e. been completed in the last 12 months)

YesNo

Do you have a current certificate in Emergency Asthma Management Training *

YesNo

Do you have a current certificate in Emergency Anaphylaxis Management Training *

YesNo

Criteria for "Fit and Proper" People

Are you, and any person over the age of 18 years, living in your home, prepared to undergo a Police Records Check? There is a small cost for this. *

YesNo

Are you, and any person over the age of 18 years, living in your home, prepared to undergo a Working with Children Check? There is a small cost for the educator for this. *

YesNo

Please provide the names of two referees (not related to you).

Referee 1 full name *

Referee 1 address

Referee 1 phone number *

Referee 2 full name *

Referee 2 address

Referee 2 phone number *

Are you a smoker? *

YesNo

Do you have pets? *

YesNo

If yes what type/s?

For what period of time can you commit yourself to Family Day Care? (years) *

What ages of children would you prefer to care for? Please provide range (years) *

What days would you prefer to provide childcare? *

What type of childcare would you prefer to provide? (please tick relevant types) *

Full time hours five days a week (approx. 8.00am - 5.30pm)Part time hours (approx. 9.00am - 2.00pm) or two - three days per weekBefore and after school care (8.00 - 9.00am and/or 3.00 - 5.00pm)CasualWeekendsOvernightEmergency care

Why do you wish to join Family Day Care? *

What qualities can you bring to the role of an educator registered with Queanbeyan Family Day Care? *

Is there anything else you would like to add?