Your application has been submitted.
* = Required
* Name
* Address
* City Select City...Fort ErieGrimsbyLincolnNiagara FallsNiagara-on-the-LakePelhamPort ColborneSt. CatharinesThoroldWainfleetWellandWest Lincoln
* Email
* Phone xxx-xxx-xxxx
Check the following statements that apply:
* Residential status I own my current residence I am renting my current residence
Household Composition
List all adults and children in your household. They may be a part of the interview process.
Name
Date of birth
Relationship
Will be home during care hours? Yes No
+ Add a family member
List all adults (over 18) who may be visiting the home during the hours of care:
+ Add a visitor
Availability
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.
Reference 1
* Relationship
Reference 2
Reference 3
Reference 4
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 will be collected, used, and disclosed, where applicable, by members of Regional staff according to the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. Any information you share will only be used for the intended purpose for which it was provided.
For questions or comments about privacy practices, or for more information about the administration of the Municipal Freedom of Information and Protection of Privacy Act in Niagara Region programs, see Freedom of Information and Open Government.