Vacancy Enquiry

Date of Vacancy Enquiry

Parent/Guardian Personal Details :

Parent/Guardian 1 Full Name *

Phone Contact:

Mobile Phone Number *

Address *

Suburb *

Email *

Will you be claiming child care fee assistance? We recommend that you visit www.humanservices.gov.au as soon as possible to make a claim for Child Care Subsidy.

Care Requirements:

Preferred Start Date *

Please click on field and use calendar to select date

Please indicate if this care will be: *

I am seeking care for child/children *

Child 1 Personal Details:

Child 1 Full Name *

Date of Birth

Day *

Month *

Year *

Gender *

Is your child of Aboriginal or Torres Strait Islander descent? *

Is your child: *

Does your child have any of the following medical conditions, additional needs, allergies or intolerances, including any disabilities? *

None

Asthma

Diabetes

Allergies

Diagnosed at risk of anaphylaxis

Epilepsy

Anxiety

Autism

ADHD

Processing Disorder

Speech or Language Delay

Disability

Dietary Intolerances or Sensitivities

Other

Please provide more information *

Is your child fully immunised? *

Does your child have any parenting orders?

If yes, please provide any relevant information which impacts on your vacancy enquiry

Please list the days and hours you are looking for below so that we can match up with the right educator:

To add more days click the 'Add day' button

Day *

Add day Clear

Child 2 Personal Details:

Child 2 Full Name *

Date of Birth

Day *

Month *

Year *

Gender *

Is your child of Aboriginal or Torres Strait Islander descent? *

Is your child: *

Does your child have any of the following medical conditions, additional needs, allergies or intolerances, including any disabilities? *

None

Asthma

Diabetes

Allergies

Diagnosed at risk of anaphylaxis

Epilepsy

Anxiety

Autism

ADHD

Processing Disorder

Speech or Language Delay

Disability

Dietary Intolerances or Sensitivities

Other

Please provide more information *

Is your child fully immunised? *

Does your child have any parenting orders?

If yes, please provide any relevant information which impacts on your vacancy enquiry

Please list the days and hours you are looking for below so that we can match up with the right educator:

To add more days click the 'Add day' button

Day *

Add day Clear

Child 3 Personal Details:

Child 3 Full Name *

Date of Birth

Day *

Month *

Year *

Gender *

Is your child of Aboriginal or Torres Strait Islander descent? *

Is your child: *

Does your child have any of the following medical conditions, additional needs, allergies or intolerances, including any disabilities? *

None

Asthma

Diabetes

Allergies

Diagnosed at risk of anaphylaxis

Epilepsy

Anxiety

Autism

ADHD

Processing Disorder

Speech or Language Delay

Disability

Dietary Intolerances or Sensitivities

Other

Please provide more information *

Is your child fully immunised? *

Does your child have any parenting orders?

If yes, please provide any relevant information which impacts on your vacancy enquiry

Please list the days and hours you are looking for below so that we can match up with the right educator:

To add more days click the 'Add day' button

Day *

Add day Clear

Child 4 Personal Details:

Child 4 Full Name *

Date of Birth

Day *

Month *

Year *

Gender *

Is your child of Aboriginal or Torres Strait Islander descent? *

Is your child: *

Does your child have any of the following medical conditions, additional needs, allergies or intolerances, including any disabilities? *

None

Asthma

Diabetes

Allergies

Diagnosed at risk of anaphylaxis

Epilepsy

Anxiety

Autism

ADHD

Processing Disorder

Speech or Language Delay

Disability

Dietary Intolerances or Sensitivities

Other

Please provide more information *

Is your child fully immunised? *

Does your child have any parenting orders?

If yes, please provide any relevant information which impacts on your vacancy enquiry?

Please list the days and hours you are looking for below so that we can match up with the right educator:

To add more days click the 'Add day' button

Day *

Add day Clear

Please select the location of the OOSH Service *

Please select OOSH Service requirements

Before School Care ONLY

After School Care ONLY

Before and After School Care

Vacation Care

Purpose of care *

Any other comments?

I acknowledge that the personal information provided on this form is collected, stored and shared for the purpose of enrolling my child/children with Coastwide Family Day Care (CFDC), an education and care service sponsored by Coastwide Child and Family Services (CCFS). Access to this personal information is limited to CCFS staff and other authorised persons. Supply of personal information is mandatory and non-supply may cause delay or prevent the processing of this request. We acknowledge that personal information collected by CCFS will be used, stored and accessed in accordance with the Commonwealth Privacy Act 1988 - Privacy Amendment 2000. *

Yes I agree

Enquire about Vacancy

Parent/Guardian Personal Details :

Phone Contact:

Care Requirements:

Child 1 Personal Details:

Please list the days and hours you are looking for below so that we can match up with the right educator:

Child 2 Personal Details:

Please list the days and hours you are looking for below so that we can match up with the right educator:

Child 3 Personal Details:

Please list the days and hours you are looking for below so that we can match up with the right educator:

Child 4 Personal Details:

Please list the days and hours you are looking for below so that we can match up with the right educator: