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Family Day Care Educators

Please fill out this form if you are interested in becoming a Family Day Care Educator:
Applicant's Details
RadDatePicker
RadDatePicker
Open the calendar popup.
Other members of the household:
Gender person 1:

Gender person 2:

Do you hold a Child Care qualification?

Do you hold a Working with Children Check?

Do you hold a current Emergency Asthma Certificate?

Do you hold a current HLTFA301B First Aid Certificate?

Do you have Anaphylaxis training?

Do you have a current driver's licence?

Where did you hear about this?
Type the characters you see in the picture below * (required)

Please click submit or print and return the completed form to:

City of Kingston Family Day Care
Attention:
FDC Placement Officer
PO Box 1000
Mentone, VIC 3194

Privacy Statement
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information will be held securely and used solely by Council for these purposes and/or directly related purposes. Council may disclose this information to other organisations if required or permitted by legislation. The applicant understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and/or correction should be made to Council's Privacy Officer. A full copy of our Privacy Policy may be obtained from the Kingston website: http://www.kingston.vic.gov.au or from one of our Customer Service Centres.