Wise Kids House Team Application Form

Personal Information

First Name *

Last Name *

Phone *

Email *

I agree to terms & conditions provided by the company. By providing my email address and phone number, I agree to receive email and text messages from the business.

Which neighbourhood do you live in? *

What kind of home do you have? *

Who lives in your home? *

Occupant 1
Occupant 2
Occupant 3

Type Name, age, and relationship.

Environments

Do you rent or own your home? *

If other, type which area.

Check all that apply:

I have a yard

My yard is fenced

I live near parks

I have tenants in my home

There are windows in all areas you would use for childcare. *

Do you have pets? *

Yes

No

If yes, type what kind.

Experiences

What is your Early Childhood Education certification level? *

Resume *

Do you have First Aid & CPR? *

If yes, when was the latest First Aid & CPR Date?

Do you have a Criminal Record? *

If yes, when were Criminal Record Dates?

What is your childcare experience? *

If other, type what

How many years of childcare experience do you have? *

Are you running a private day home right now? *

If yes, how many children are you caring for in the day home?

Have you ever partnered with a day home agency in the past? *

Business Opportunities

How many children would you like to care for? *

What ages of children would you prefer to care for?

0-2 years old

3-4 years old

Grade 1 and older

What would your hours of operation be? *

How much will you charge for your Program? *

$

Why do you want to open an approved family day home? *

When would you like to start your day home? *

What motivates you to work with children? *

How did you hear about us? *

If other, type how

Wise Kids House Team (Educator) Application Form