Early Childhood Educator (ECE) Application Form

Applicant Information









Family Information

Names and Birthdates of children resident with the applicant



Names and Relationship of other residents (over 18)


General Information











What hours and days would you be willing to take care children?


Education - Training


Experience



Health Information







  1. A completed criminal record check, including vulnerable sector search, Child Intervention Check for the applicant and anyone who is over 18 years of age or older, and who either resides with the Early Childhood Educator (ECE) in the proposed family day home or who may be in the Early Childhood Educator (ECE)’s home on a regular basis during the Early Childhood Educator (ECE)’s regular operating hours.
  2. Three satisfactory personal references from non-relatives that corroborate the Early Childhood Educator (ECE).
  3. First Aid Certification.