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Prospective Educator Enquiry Form
Wildhive Master
2024-11-05T11:19:26+10:00
Prospective Educator Enquiry Form
For people wishing to become Educators
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)
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
(Required)
Email
(Required)
Home Specifications
(Required)
House
Townhouse
Duplex
Unit
Home Status ((Please note for Rental Properties – the Scheme requires written Landlord's permission to use your home for FDC))
(Required)
Home Owned
Home Rented (have written Landlord’s permission for FDC)
Home Rented (do not have written Landlord’s permission for FDC yet)
How many other people live in your home with you
(Required)
Adult Occupants – Name of Adult Occupants AND how they are related to you
(Required)
Children who live in your home – Name AND age AND how they are related to you
(Required)
Is the outside play area fully fenced and a minimum of 1.2m high
(Required)
Yes
No
Is the outside play area fencing designed so children cannot go under, over or through it
(Required)
Yes
No
Please specify what your fence is made from
(Required)
Completed Relevant Early Childhood Qualifications
(Required)
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
(Required)
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
Current work details
(Required)
Family Day Care
Long Day Care
Outside Hours Care
Teaching
Other
Not Working
FDC Scheme name if currently working or have previously worked as a Family Day Care Educator (NIL if no scheme)
(Required)
List any other relevant experience you have working with children
Days you are available to work
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Blue Card – Applicant
(Required)
Yes
No
Blue Card – Other occupants over 18 years old
(Required)
Yes
No
Have applied
Not applicable
Will you be transporting Family Day Care children in your car
(Required)
Yes
No
Smoking (Please note that smoking is not permitted in FDC Homes)
(Required)
Yes – applicant
Yes – other
No
Pool
(Required)
Yes
No
Pets
(Required)
Yes
No
First Aid Certificate
(Required)
Yes
No
CPR Certificate
(Required)
Yes
No
Anaphylaxis Certificate
(Required)
Yes
No
Asthma Certificate
(Required)
Yes
No
What date do you want to commence working as a Family Day Care Educator with our Scheme
(Required)
Any other comments:
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