child development dayhomes
peace of mind
Edmonton Application

Edmonton Application

Name *
Phone Number: *
Over 18 Years of Age? *
Address:
Postal Code
Cross Street and Avenue
What type of home do you live in?
Rented/Property managed?
If Yes, does your manager allow for dayhomes?
Do you have a Yard?
Is your yard fenced?
Days available?
Hours available?
Languages Spoken (other than English)
Type of Pets?
If Yes, how will your pet act around children?
Non-Smoking House
Are you planning to use your vehicle to transport children?
How many people in your home are age 18 or over & who are they?
What play/child care equipment do you have?
Previous Child Care Experience?
Do you have a level 2 or 3 certification in child care?
If yes, have you been out of the child care field for 6 months or more?
If yes, were you in the field for more than 6 months before leaving?
Why are you interested in becoming a Dayhome Provider?
What ages of children would you prefer to care for?
How many?
List 5 examples of field trips you will take with the children and how you will get there?
Do you have children of your own? (ages)
Are you presently caring for children other than your own?
If yes, what ages?
What type of child guidance do you use?
Where in your home will you set-up the required play spaces? (See Provider Expectations)
Have you ever been with another Dayhome Agency?
How did you hear about us?
Your e-mail address?
Comments or Questions?
© copyright 2007 child development dayhomes of Alberta ltd. all rights reserved. Login to System