Educator Application Form

Please fill in all required fields on this form, Required fields are shown with an asterix *

First Names *

Surname *

Address *

Telephone *

Email *

Date Of Birth *

Ethnic Origin *

Iwi Affiliation *

Section 1 - Personal Details

How long have you lived in this community? *

How many people live in your home? *

Please list the details for each person on a separate line
Name | DOB | Relationship | School/Occupation | Times At Home

Do you care for other children on a regular basis? *

Please list the details for each person on a separate line
DOB | Times in Care

Are you presently employed? *

Place of employment

Days/Hours of work

What was your previous occupation? *

Will you be actively seeking other employment in the near future? *

Are you actively invloved in any community groups? *

If yes, which community groups are you involved with?

Why do you want to become and educator for Kiddz? *

Have you worked for any other home based care provider? *

If yes, What is the service providers name and who is the contact person?

How does your family feel about you caring for other children? *

What is your experience with children? *

Please list any early childhood or other qualifications below *

Two referees are required: Please list each referees name, address & phone number.
This application cannot be accepted without 2 valid referees.

Name *

Address *

Phone *

Name *

Address *

Phone *

Do you hold a valid drivers licence? *

Do you have the use of a car with a current registration & WOF? *

What safety restraints are fitted to the vehicle? *

Do you and your children attend an early childhood service? *

If yes, please list which one below.

Are you prepared to take children to Plunket & public heath nurse or have them visit? *

Are you prepared to take children to early childhood services ie: Kindergarten? *

Do you have an injury, caused by gradual process, disease, infection or repetitive strain injuries that may be aggravated or further contributed to by the tasks of this role? *

Please list any other medical information we should be aware of.

Are you a smoker? *

Are you prepared to provide a smokefree environment for children? *

Please provide details of any pets and their reaction to children?

What days & hours are you available to work with children? * (The more flexible you are, the easier it is to place children in care)

Section 2 - Working With Children

* What experiences would you provide for children in your care? *

* How do you believe children learn? *

* How do you support and encourage children’s social competence? *

* What do you think children’s basics needs are in a childcare situation? – physical, emotional and educational? *

Section 3 – KIDDZ Homebased Early Childhood Education Service Requirements for Educators

Each Educator is required to attend an induction course before children are placed in their care and is encouraged to complete the Open Polytechnic certificate in Homebased care (Level 4) or other relevant early childhood training (unless already have an ECE qualification).

Are you interested in ongoing education opportunities for Educators? *

Are you prepared to respect family’s privacy by maintaining confidentiality? (However, any concerns should be shared with KIDDZ Visiting Teacher’s) *

Do you have a current Comphrehensive First Aid Certificate? This is required before children are placed in your care. *

Will you, if approved as an Educator - Be prepared to reach and maintain the standards set out in the Education (Early Childhood Services) 2008 Regulations, HOME BASED CARE. Some of these are to be able to provide the following:

Clean premises / safety from dangers such as heat sources, electricity, stairs, poisons / security by fencing grounds and water / play space, activities and equipment? *

Agree to advise your KIDDZ Visiting Teacher of any changes in your situation or the conditions in the home? *

Understand that numbers of children in permanent childcare arrangements are limited by the regulations? *

Communicate with, observe and record children’s learning in partnership with parents and KIDDZ Visiting Teachers? *

In relationships with children and parents avoid stereotyping and be accepting of differences in culture and ability? *

A visiting teacher will discuss and/or provide written material on the details of the above.

As a condition of becoming an Educator for KIDDZ Homebased Early Childhood Education Service, I am fully aware that myself and all members of my household over the age of 17 years must undergo a police vet.

Number of people in your household over the age of 17 years? * You will receive police vet forms at the initial interview.