Family Day Care Educator Application Form

Windermere Family Day Care (FDC) must collect the information in this form to meet regulatory requirements and maintain up to date records.

If you need help completing this form, please contact us on 1300 946 337.

1. Personal information

Given name(s) *

Surname *

Email *

Mobile *

Address *

Suburb *

Postcode *

State *

Date of birth *

Nationality *

Language/s spoken *

2. Experience

Have you provided Family Day Care before? *

YesNo

Under what scheme did you provide FDC? *

Anything else you would like to share about your previous provider/experience?

Were you with your most recent employer for less than 3 years? *

YesNo

Most recent employer

Name *

Address *

Suburb *

Postcode *

State *

Position held *

Start date *

End date

Duties, responsibilities or achievements in this position relevant to childcare *

Next most recent employer

Name *

Address *

Suburb *

Postcode *

State *

Position held *

Start date *

End date *

Duties, responsibilities or achievements in this position relevant to childcare *

3. Education and skills

Please provide details of any Early Childhood Education and Care qualifications you have *If you are due to complete a course in the near future, please indicate the name of the course and expected completion date.

Please upload a copy of your certificates *

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Have you done any other training or courses that may be relevant?

What qualities do you feel you have that would make you a good FDC educator *

4. Questionaire

Are you an Australian resident? *

YesNo

Do you have the necessary documentation/ working VISA to work in Australia? *

YesNo

If not, please finish completing this form and then contact us directly.

Does the residence have an upstairs? *

YesNo

How did you hear about Windermere? *

Why do you want to become a FDC Eduactor? And what do you hope to achieve becoming an educator with Windermere? *

What is your understanding of the resources you will require to run your small business and costs? e.g toys, high chairs, cots, sleep mats, car seats, etc. *

What do you see as the benefits of FDC for both families and children? *

Working in FDC, how would you promote relationships with your families? *

Health, hygiene and safety are an important aspect of running a small business, how would you maintain health and hygiene standards and ensure the safety of all children? *

How would you prepare yourself to run your own business? This includes maintaining confidentiality. *

Do you have access to or prepared to purchase a Computer, Printer (with ability to scan, email and print), Resources, Accountant (we can provide details for this). *

Are you prepared to and comfortable with marketing you FDC business this may include using technology such as Facebook, websites, mail box drops? *

5. Residential details

Please list the names of all other adults residing in your house.

All adults/adult children over the age of 18 will be required to complete a police check & Working With Children Volunteer Assessment Notice.

Name

Date of birth

Relationship

Please list the names of all other children residing in your house.

If your child is 18 years old or older, please include as an adult above.

Name

Date of birth

Relationship

6. Availability

Please indicate what type(s) of care you would like to be available for: *

Date available to start work *

7. FDC requirements

Do you smoke? *

YesNo

You and other members of your family may not smoke in the home or in view of children during education and care times. Are all members of your family prepared to do this? *

YesNo

All care must be provided in a smoke free environment.

Police checks need to be conducted on all persons over the age of 18 residing in your house. Are you able to meet this requirement? *

YesNo

Do you hold a current Victorian Working With Children Card? *

YesNo

A current card needs to be obtained for you prior to commencement of providing care and a volunteer card for any adults residing in your home. This may take up to 6 weeks.

Are you prepared to complete First Aid training before commencing as a FDC educator? *

YesNo

Do you hold a current HLTAID012 First Aid certificate? *

YesNo

Please upload a copy of your First Aid certificate *

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Do you hold a current CPR certificate? *

YesNo

Please upload a copy of your CPR certificate *

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Are you prepared to provide completed medical forms verifying that you are in good physical and mental health? *

YesNo

Access to your house and to an outside playing area for children free of pets is required. Are you prepared to appropriately enclose all pets to exclude them from areas children are using? *

YesNo

Do you have a swimming pool or spa? *

YesNo

Is it contained within regulation fencing? *

YesNo

Please upload your compliance documents here: *

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Are you renting your home? *

YesNo

Is there a clause in your rental agreement precluding you from operating a home based business? *

YesNo

Professional Development activities are offered throughout the year on weeknights and Saturdays. FDC educators are required to attend a minimum of 3 sessions per year.

Will you be able to attend Professional Development activities on a regular basis? *

YesNo

Do you have an enclosed backyard suitable for children to play in? *

YesNo

Is there adequate shade available in your backyard? *

YesNo

Have you made yourself aware of the start-up costs associated with Windermere FDC? *

YesNo

Please contact one of our team on 1300 946 337 to take you through the start-up costs.

Are you prepared to meet all the costs associated with running a FDC business? *

YesNo

8. Referees

Please list the name, phone number and relationship with 3 persons not related to you who can provide professional references.

Suitable referees may include for example a previous or current employer (including those previously listed on this application), previous families, someone for whom you have done regular babysitting, placement supervisor and/or RTO trainer.

Name - referees

Phone

Relationship

Email Address *

9. Declaration and signature

I hereby certify that all answers are true and complete, and I agree and understand that any fulsification of information may cause deregistration. I understand that all information on this application is subject to verification. I understand that a police check is mandatory and that my registration will be conditional upon the scheme receiving no inappropriate information on my or other members of my family'd background. *

Please sign here *

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Name *

Date *

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