Educator Application Form

Family Day Care Educator - Application Form

Section 1 - Applicant's Details

Surname(*)

Invalid Input

Given Name(*)

Invalid Input

Date of Birth(*)

/ / Invalid Input

Gender(*)

Invalid Input

Residential Address(*)

Invalid Input

State(*)

Invalid Input

Postcode(*)

Invalid Input

Are you renting the property?(*)

YesNo

Invalid Input

Home Number

Invalid Input

Mobile Number(*)

Invalid Input

Email(*)

Invalid Input

Ethnic Origin(*)

Invalid Input

Section 2 - Your Partner's Details

Surname

Invalid Input

Given Name

Invalid Input

Date of Birth

/ / Invalid Input

Ethnic Origin

Invalid Input

Gender

Invalid Input

Work / Study

Invalid Input

Occupation

Invalid Input

Hours of Work

Invalid Input

Home Number

Invalid Input

Mobile Number

Invalid Input

Section 3 - Details of Children Living at Home

1. Child's Full Name

Invalid Input

Gender

Invalid Input

Date of Birth

/ / Invalid Input

Hours at Home

Invalid Input

School Attending

Invalid Input

Immunised?

YesNo Invalid Input

2. Child's Full Name

Invalid Input

Gender

Invalid Input

Date of Birth

/ / Invalid Input

Hours at Home

Invalid Input

School Attending

Invalid Input

Immunised?

YesNo Invalid Input

3. Child's Full Name

Invalid Input

Gender

Invalid Input

Date of Birth

/ / Invalid Input

Hours at Home

Invalid Input

School Attending

Invalid Input

Immunised?

YesNo Invalid Input

4. Child's Full Name

Invalid Input

Gender

Invalid Input

Date of Birth

/ / Invalid Input

Hours at Home

Invalid Input

School Attending

Invalid Input

Immunised?

YesNo Invalid Input

Section 4 - Details of other adults in the home

1. Full Name

Invalid Input

Age

Invalid Input

Relationship to you

Invalid Input

Hours at home

Invalid Input

2. Full Name

Invalid Input

Age

Invalid Input

Relationship to you

Invalid Input

Hours at home

Invalid Input

Section 5 - Employment History

Please provide a summary of your employment background, commencing with your most recent position. Please also attach your resume to this application form.

Upload Resume(*)

Invalid Input

Positions Held

1. Organisation(*)

Invalid Input

Position(*)

Invalid Input

Description of Main Duties and Responsibilities(*)

Invalid Input

Date Commenced(*)

Invalid Input

Click on month to set calendar

Date Completed(*)

Invalid Input

Click on month to set calendar

2. Organisation(*)

Invalid Input

Position(*)

Invalid Input

Description of Main Duties and Responsibilities(*)

Invalid Input

Date Commenced(*)

Invalid Input

Click on month to set calendar

Date Completed(*)

Invalid Input

Click on month to set calendar

How many years experience do you have in the Childcare sector?(*)

Invalid Input

Section 6 - Qualifications

Please list your qualifications relevant to childcare / education:(*)

Invalid Input

Please list any other courses / qualifications that you are currently undertaking:(*)

Invalid Input

Do you hold any of the following certificates?

HLTAID004 - Provide an emergency first aid response in an education and care setting(*)

YesNo

Invalid Input

Expiry Date

Invalid Input

CHCCHILD401B - Identify and respond to children and young people at risk (*)

YesNo

Invalid Input

Expiry Date

Invalid Input

Current paid Working With Children Check clearance(*)

YesNo

Invalid Input

Expiry Date

Invalid Input

Section 8 - Questions

Please explain why you wish to become a Family Day Care Educator:(*)

Invalid Input

Please outline your experience, how it is relevant and why you are suited to the role of an Educator:(*)

Invalid Input

What would you regard as your strengths that would contribute to this role:(*)

Invalid Input

Please tell us about your communication skills, both written and verbal relevant to working with children and families:(*)

Invalid Input

Please explain what you know about how children learn and develop:(*)

Invalid Input

Briefly list the types of activities and experiences you would provide children in care:(*)

Invalid Input

Have you ever run a business? How competent do you feel with managing administration tasks and computer skills?(*)

Invalid Input

Section 9 - Availability

What days of the week and hours each day would you prefer to work in Family Day Care?

Hours(*)

Invalid Input

Section 10 - Referee Details

Please list the details of two referees who can be contacted to provide either employment or character references (not a relative).

1. Full Name(*)

Invalid Input

Phone(*)

Invalid Input

Occupation(*)

Invalid Input

Relationship to you(*)

Invalid Input

2. Full Name(*)

Invalid Input

Phone(*)

Invalid Input

Occupation(*)

Invalid Input

Relationship to you(*)

Invalid Input

I acknowledge that the personal information provided on this application is collected for the purpose of applying to be an approved Educator with Bathurst Family Day Care. Access is limited to use by Family Day Care employees and other authorised persons. Supply of the personal information is mandatory and non-supply could cause inability or delay the ability to process this application. The personal information will be stored in the Bathurst Family Day Care records system.

Applicant's Name(*)

Invalid Input

Applicant's Initials(*)

Invalid Input

Date of Application(*)

Invalid Input

For security, please complete(*)

Invalid Input