Your application has been submitted.
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Check the following statements that apply:
* Residential status
I own my current residence
I am renting my current residence
List all adults and children in your household. They may be a part of the interview process.
Date of birth
Will be home during care hours?
+ Add a family member
List all adults (over 18) who may be visiting the home during the hours of care:
+ Add a visitor
Preferred Age Range of Children
Infants (Birth - 18 months)
Toddlers (18 - 30 months)
Preschoolers (30 months - 5 years)
School aged (6-12 years)
* Share your experience working with children
* Why do you want to provide home child care?
As governed by the regulations set out under the Child Care and Early Years Act, 2014 and Niagara Region policies, any Home Child Care Provider who is affiliated with a Licensed Home Child Care Agency, may have up to six children in care at any one time. Below you will see a breakdown that outlines the total number of children per age group permitted in care at any one time:
References can be a friend, a neighbour, family member (not including someone you live with) previous employer.
I understand that:
Applications will be kept on file for six months. It is the responsibility of the applicant to ensure that their application is renewed after the six month period.
Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.
Freedom of Information
Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email firstname.lastname@example.org or call 905-980-6000 ext. 3779.
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