I hereby certify that all the information provided on this application and/or any attachment hereto is correct and that any false statement or deliberate omission of a material fact made by me on this application and/or any attachment hereto or in the recruitment or selection process may be sufficient cause for rejection of the application by the Niagara Region Licensed Home Child Care Program.
I authorize any review of my experience and education details, and verification of all data given herein, in documentation provided by me, and given verbally by me at any related interview. I release from liability any person giving or receiving such information.
I agree to provide the Niagara Region Licensed Home Child Care Program with a current criminal reference check, medical information for myself and all individuals over the age of eighteen years residing in my home, as well as, a fire inspection of the home conducted by the local fire department. Should I be approved to provide child care in my home, such requirements will be at my own expense unless otherwise specified in writing by the Program.