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Application for Day Home Educator
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Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Address
*
Besides yourself who else will be in your home during operating hours?
*
Why do you want to become a day home educator?
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Do you have education in this field?
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Level 1
Level 2
Level 3
CYC
No but willing to get my FREE level 1 course
No unwilling to continue education
Other equivalent to level 2
Other equivalent to level 3
What equivalent do you have?
*
Describe how you would set up your play area
*
Do you have pets?
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Yes
No
We're a literal zoo
Explain your pets
*
A child of 2 scribbles on the wall, how would you handle this?
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A 3-year-old won't eat lunch, how should you handle this?
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Do you have your own children?
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Yes
No
Yes and grown up
Someday
How old and how many children do you have?
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Do you have a day home now?
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Yes licensed
Yes private
No
I have had one in the past
If you have a private day home, why are you wanting to go with an agency?
*
Name your last two employers, your roll and why you left?
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Can we talk with them?
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Yes
No
Explain your experience working with children (yes parenting counts)?
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Explain your approach to child guidance
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Do you or anyone in your home have a criminal record?
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Yes - Me
Yes - Other
No
If you answered yes to the above please explain
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Have you or anyone in your home been involved with any child welfare matter?
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Yes - Me
Yes - Other
No
A 15-month-old bites another child, what would you do?
*
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