Educator Application Form

Submitted by Anonymous on 16 March, 2008 - 20:45.

Please complete the on line form or Download the form Here

Personal Information

First Name: *

Last Name: *

Address: *

City/Town: *

Post Code: *

Email Address:

Phone Number: *

Date of Birth: *

Ethnic Origin:

Iwi Affiliation:

Section one - Personal Details

How long have you lived in this community?: *

How many people live in your home?: *

Details of people living in your home::

Please include name, date of birth, relationship, school/ocupation and times at home for each person.

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

Please give details of the ages and day and times in care

Are you presently employed?:

Please provide name of employer and the days and hours of work

What was your previous occupation?:

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

Are you involved in any community groups?:

Please provide details of the groups you are involved with.

Why do you want to become an Educator for KIDDZ?:

Have you worked for any other Home-based Care provider?:

Please give details of the provider and permission for us to contact them?

How does you family feel about you caring for other children?:

What is your experience with children?:

Do you have any early childhood or other qualifications?:

Please provide details of the qualifications.

Referees are required: Please list two names, plus an address and phone Number.:

The referees need to be not related to you and if possible someone who has seen you interacting with children. INFORMATION SUPPLIED IS CONFIDENTAIAL BETWEEN KIDDZ AND THE REFEREES.

Do you hold a valid Drivers Licence? Have the use of a car with a current warrant of fitness?:

Do you and your children attend an Early Childhood service? Which one?:

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

Are you a smoker?: *

Are you prepared to provide a smoke free environment for children?: *

Give details of any pets and their reaction to children?:

Section Two - Working with Children

What activities and equipment would you provide for children in your care? : *

What limits do you put on television viewing? : *

How would you manage children’s behaviour? : *

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

What would you normally provide for, Snacks, Lunch & Drinks?: *

Section Three- KIDDZ Homebased ECE Service Requirements for Educators

Are you interested in ongoing education opportunities for Educators?: *

Do you have a basic knowledge of First Aid?: *

Will you, if approved as an Educator:

(a) Be prepared to reach and maintain the standards set out in the Education (Homebased Care) order 1992 and amendments. 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 Co-ordinator 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 order.

Communicate and plan regularly in partnership with parents and KIDDZ Coordinators for the education and care of each child.

(b)In relationships with children and parents avoid stereotyping and be accepting of differences in culture and ability.

Do you agree to all of the above requirements? : *

Yes

Condition of Becoming and Educator:: *

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 check

Attachment	Size
Educator Application Form.pdf	293.3 KB

About Us

Child Care

User login

Educator Application Form

Search

Educators

We Support