Sample Daycare Application Form



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What do I need to do to get a Family Child Care Home License In order to get a Family Child Care Home license, you must: ● Be 18 years of age or older ● Attend an orientation (if you have not completed a Family Child Care Home Orientation within the last 12 months) ● Submit all the required forms in this Application Booklet ✓ Be sure to read each one carefully ✓ All forms must be typed or completed in ink ✓ Keep a copy of all information that you send to Licensing ● Submit the required application fee (See information on the following pages regarding payment of fees) ● Obtain a background check clearance for you, your spouse, and all other adults residing or having contact with the children in the home ● Obtain a tuberculosis clearance (not more than 1 year old) for all adults residing or having contact with the children in the home ● Complete or be enrolled in Preventive Health Practices training ● ✓ This includes 15 hours of training in pediatric CPR, pediatric first aid, and a preventive health practices class ✓ All classes must be offered by the American Red Cross, American Heart Association, or approved by the Emergency Medical Services Authority (EMSA) ✓ Be sure to submit with your application, copies of course certificates of completion or training cards, or proof of current enrollment Meet experience requirements if you will be operating a Large Family Child Care Home (up to 14 children) ✓ At least one year of experience either as a licensed Small Family Child Care Home provider or as an administrator, director, or teacher at a licensed Child Care Center ✓ Verification may include copies of previous licenses or a written statement from your previous employer on company letterhead..




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