Educator application | Amana Kids Family Day Care

Personal details

First name *

Last name *

Date of birth

Gender

Country of origin

Nationality

Primary language

Other languages

Contact number (mobile) *

Email *

PRODA RA number (required for all educators)If you don’t have one yet, leave this blank — we’ll help you set it up.

ABNLeave blank if you don’t have one yet.

Emergency contacts

Please give two emergency contacts.

Contact 1

Name

Phone number

Email

Address

Contact 2

Name

Phone number

Email

Address

Referees

Two referees who know your work with children.

Referee 1

Name

Contact number

Email

Does this referee currently work in family day care?

FDC service name

FDC service phone

FDC service address

Referee 2

Name

Contact number

Email

Does this referee currently work in family day care?

FDC service name

FDC service phone

FDC service address

IDs & compliance

Add each ID or check you hold. You’ll show the originals to our coordinator at your office visit.

List the IDs and checks you hold, with their numbers and expiry dates

Declaration

I confirm I am not a prohibited person

Qualifications & training

Don’t have a qualification yet? That’s okay — list any course you’re studying, and we can help you get qualified.

List your qualifications and training, with the provider and the date completed

Professional development

Other professional development completed in the last 12 months

Partner information

Does your partner live with you?

Full name

Date of birth

Gender

Country of origin

Nationality

Primary language

Other languages

Working hours (if working)

Occupation

Blue Card number and expiry date

Contact number (mobile)

Email

Educator assistant

An educator assistant can help with transporting children, in emergencies, when you have an appointment, or alongside you while you’re present.

Are you considering having an educator assistant working with you?

First name

Last name

Email

Mobile number

Blue Card details

Driver licence details

Address (if they live at a different address)

Emergency contact name

Emergency contact phone

Adults living at the address

First name

Last name

Blue Card details

Relationship to you

Children (under 18) living at the address

First name

Last name

Relationship to you

Regular visitors (adults and children who come to the home regularly)

First name

Last name

Adult or child

Relationship to you

Household declarations

All adults living at the home must hold, or be able to get, a current Blue Card (Working with Children Check).

Is any adult in the household a prohibited person?

Does anyone at the FDC residence smoke or vape?

If yes, how will you keep FDC approved areas smoke free?

Previous family day care

Have you worked as a family day care educator before?

Name of previous family day care approved provider

Reasons for leaving

Home address & residence

Residential address

Will care be provided at your residential address?

Address where care will take place

Do you own your home?

If renting, do you have permission to operate family day care?

Does the residence have a swimming pool?

Do you have a pool safety certificate?

Your household

Rate each from 1 (poor) to 5 (great).

How does your family feel about other people coming in and out of your home?

Your family's ability to keep the home tidy, including bathrooms and kitchen

Your children's ability to share their toys and space with other children

Your family's commitment to making sure TV programs and games are PG rated

How committed your partner and children are to welcoming others into the home

Your family's willingness to support you in your work as an educator

Your family's commitment to an alcohol, drug and tobacco free environment whenever enrolled children are present

About you and family day care

Why have you decided to become a family day care educator?

What is the difference between family day care and a childcare centre?

Describe your experience caring for children.

What will you provide in your home-based service that families and children will value?

What challenges could others living in your home create for children's health and safety?

What strategies would you use to reduce the chance of this happening?

Can you care for, or have you had experience with, children with additional needs?

Your home must be welcoming, child friendly and safe, with access to a variety of resources. What changes, if any, will you make to your indoor and outdoor areas?

How will you make sure you understand your legal responsibilities and follow the service's policies and procedures?

Educators must attend mandatory professional development training. Are you prepared to attend?

How will you keep open communication with the families of children in your care?

How will you maintain a safe, organised and hygienic environment?

What activities would you offer if a 5-year-old and a 5-month-old were in care at the same time? How would you meet their individual needs?

How will your programming support children to meet the learning outcomes?

How will you plan, implement and evaluate activities?

What would you do?

Describe briefly what you would do in each situation.

A child in your care arrives each day with insufficient food.

A child becomes sick while in your care.

A new child from another cultural background joins your group. How would you help them settle in?

A parent arrives with a child who has a high temperature and has been vomiting all night.

A child in your care has fallen and has a suspected broken arm.

The front doorbell rings while you are supervising outdoor play in the backyard.

You suspect a child in your care is being abused.

Another adult in your home is cooking and sets off the smoke alarm.

Declaration

I certify that I have completed this application and that the information and answers I have given are true and correct, and that this application has been written by me. I understand it is my duty to disclose any information that may be detrimental to my work with children, and that I have discussed any relevant matters with a staff member of Amana Kids Family Day Care. I have read, or will read before registration, the Amana Kids FDC Educator Handbook.

I agree with this declaration *

Your full name (this is your signature) *

Educator application details form

How we use your information

Personal details

Emergency contacts

Contact 1

Contact 2

Referees

Referee 1

Referee 2

IDs & compliance

Police check

Driver licence

Medicare card

Healthcare card

Blue Card

Vehicle registration

Insurance

Other

Declaration

Qualifications & training

Early childhood qualification

First Aid / Asthma / Anaphylaxis

CPR

Child safety course

Professional development

Partner information

Educator assistant

Adults living at the address

Children (under 18) living at the address

Regular visitors (adults and children who come to the home regularly)

Household declarations

Previous family day care

Home address & residence

Operating hours & days of care

Days available, with hours

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Your household

About you and family day care

What would you do?

Declaration