Menu Families Become an Educator Educator Portal Community Hub Childcare Subsidy Book a Visit Menu Families Become an Educator Educator Portal Community Hub Childcare Subsidy Book a Visit Educator Application Form Please fill out the form below so that we can attend to your application. Prospective Educator DetailsName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneMobile*Email* Date of Birth* Date Format: DD slash MM slash YYYY Primary Language*Other Language/s (if any)Country of Birth*AustraliaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwaziland (See Eswatini)SwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabweCurrent Occupation*Other People Residing at the PremisesPartner's DetailsFull NameDate of BirthPhone/MobileOccupationCountry of BirthWorks Fulltime? (Y/N) Child/ren's Details (under 18 years old)Full NameDate of BirthWhere is the majority of their time spent during the day (e.g. home, childcare, school etc). Adult/'s Details (over 18 years old)Full NameDate of BirthRelationship to you (e.g. father, mother, brother etc). Details about Family Day Care PremisesPlease note that a Family Day Care premises must have access to inside and outside play areas, separate sleep area for young children, as well as kitchen, laundry and toilet facilities.Are the premises rented?*YesNoPlease download and complete the Landlord permission form Download FormPlease upload or provide a hardcopy of the completed Landlord permission formAccepted file types: jpg, png, pdf, doc, docx.Does the premises have a pool?*YesNoA swimming pool compliance certificate is required. Please upload or provide hardcopyDoes the premises have a fully fenced backyard?*YesNoAppropriate fencing will be requiredAre there any pets that reside at the premises?*YesNoIs there a separate area for pet/s on the premises?*YesNoAvailability for Family Day CarePlease indicate days/hours of operation and age of children below.What type of Family Day Care service do you want to provide?*For under school age childrenFor school age childrenBoth under school age and school age childrenDays and hours of operation* MonTueWedThuFriSatSun12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pm12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pm12:00 am (next day)12:30 am (next day)1:00 am (next day)1:30 am (next day)2:00 am (next day)2:30 am (next day)3:00 am (next day)3:30 am (next day)4:00 am (next day)4:30 am (next day)5:00 am (next day)5:30 am (next day)6:00 am (next day)6:30 am (next day)7:00 am (next day) Add Hours Prospective Educator Qualifications and ExperienceDo you have an Early Childhood Education and Care qualification?*YesNoPlease note that a minimum of Certificate 3 in children services is required to operate a Family Day Care servicePlease indicated which qualifications you have* Cert 3 Diploma ECT Working towards qualification Other Please specify any other qualificationsDo you have a First Aid qualification? (valid 3 years)*YesNoFirst Aid qualification expiry* Date Format: DD slash MM slash YYYY Do you have a CPR qualification? (valid 1 year)*YesNoCPR qualification expiry* Date Format: DD slash MM slash YYYY Do you have an Asthma and Anaphylaxis qualification? (valid 3 years)*YesNoAsthma and Anaphylaxis qualification expiry* Date Format: DD slash MM slash YYYY Do you have a paid employment 'Working with Children Check' (WWCC)?*YesNoPlease enter your WWCC number*WWCC qualification expiry* Date Format: DD slash MM slash YYYY Please upload or provide hardcopies for ALL of your qualification certificates Drop files here or Accepted file types: jpg, png, pdf, doc, docx. What experience do you have educating and caring for children?*Do you have any other experience relevant to managing your own business?*YesNoPlease elaborate on your business experience*Have you ever previously been registered as a Family Day Care Educator?*YesNoName of Provider*Duration as Educator*Reason for leaving/stopping*Please provide details of two (2) referees*(1) Referee NamePhone NumberRelationship to Applicant*(2) Referee NamePhone NumberRelationship to ApplicantAdditional comments you would like to make regarding your applicationDeclaration* By ticking this box I confirm that the information given in this application is true and correct. I agree to obtain a valid 'Working with Children Check' for myself and all adult household members*YesNoHave you and/or any household member/s been charged with and/or convicted of an offence?*YesNoI have read the 'Prospective Educator Information Pack'*YesNoPlease download and read the Prospective Educator Information Pack Download Information PackHas the 'Partner of Educator Questionnaire' been completed and provided?*YesNoPlease download and complete the Partner of Educator Questionnaire Download FormPlease upload or provide a hardcopy of the completed 'Partner of Educator Questionnaire'Accepted file types: jpg, gif, png, pdf, doc, docx.I have read the Educator Role Description and agree to abide by it*YesNoPlease download and read the Educator Role Description DownloadAre you willing to work in accordance with the Education and Care Services National Regulations & Law, the National Quality Standards and Baulkham Hills Family Day Care policies and procedures?*YesNoCAPTCHAPhoneThis field is for validation purposes and should be left unchanged. © 2024 Baulkham Hills Family Day Care – Created by | Privacy & Disclaimers A Program of