Prospective Educator Enquiry Form - Uniting Family Day Care Bramble Bay

Complete this form to enquire about becoming an Educator with our Uniting Family Day Care team. Please choose which service you would like to join (if known):

Uniting Family Day Care Bramble Bay (Metro - all of Brisbane/Sunshine Coast)

Uniting Education Family Day Care (Metro - all of Brisbane/Gold Coast)

Uniting Family Day Care Gympie (Gympie region/Cooloola Coast/Imbil/Nanango and surrounds)

Uniting Family Day Care Charleville and Districts (Rural and remote - whole of QLD)

First Name:*

Last Name:*

Address - House Number:*

Address - Street Name:*

Address - Suburb:*

Mobile:*

Home Phone:*

Email:*

How many other people live in your home with you:*

Adult Occupants - Name of Adult Occupants AND how they are related to you:*

Children who live in your home - Name AND age AND how they are related to you:*

Home Specifications:*

House

Townhouse

Duplex

Unit

Home Status:*

Home Owned

Home Rented - have written Landlord's permission for FDC

Home Rented - do not have written Landlord's permission for FDC yet

(Please note for Rental Properties - the Scheme requires written Landlord's permission to use your home for FDC)

Is the outside play area fully fenced and a minimum of 1.2m high:*

Yes

Is the outside play area fencing designed so children cannot go under, over or through it:

Yes

Please specify what your fence is made from: *

ie. timber, colourbond, chainwire, pool fencing, welded wire etc.

Completed Relevant Early Childhood Qualifications:*

Certificate III in Early Childhood Education and Care

Diploma in Early Childhood Education and Care

Bachelor of Early Childhood

Other Early Childhood Teaching Qualification

No qualification

Studying:*

Studying Certificate III in Early Childhood Education and Care

Studying Diploma in Early Childhood Education and Care

Studying Early Childhood Teaching Qualification

Not applicable

If studying, what date did you commence your study:

FDC Scheme name if currently working or have previously worked as a Family Day Care Educator:*

Write NIL if no Scheme

List any other relevant experience you have working with children:*

Blue Card - Applicant:*

Yes

Have applied

Blue Card - Other occupants over 18 years old:*

Yes

Have applied

Not Applicable

Will you be transporting Family Day Care children in your car:*

Yes

Smoking:*

Yes - Applicant

Yes - Other Occupant

(Please note that smoking is not permitted in FDC Homes)

Pool:*

Yes

Pets:*

Yes

First Aid Certificate:*

Yes

CPR Certificate:*

Yes

Asthma Certificate:*

Yes

Anaphylaxis Certificate:*

Yes

What date do you want to commence working as a Family Day Care Educator with our Scheme:*

Other Comments:

Where did you find out about Bramble Bay Family Day Care:*

Captcha

If you are human, leave this field blank.