Letter
to Childcare Providers & Caretaker Prospects of Northern Kentucky
& Cincinnati, Ohio
Dear Friend:
If you enjoy caring
for children and you can provide for their needs, you have an
opportunity to make an excellent income as a member of a new network of
private child care providers in your area. If you qualify, you
will receive referrals directly from us plus guidance in operating your
own profitable child care business. You will be a family daycare
home for a professional child care referral and placement service.
Applications are now being taken for this new
innovative program. If you are accepted, you can set your own
fee, work your own schedule and even decide for yourself the number (in
compliance with the state ratio limitations) and
type of children you wish to serve.
This is NOT a welfare or government program.
This is strictly a private business enterprise. Childcare
Directory Resource and Referral Agency is in business to PUT YOU IN
BUSINESS. We will recruit children for you. Our recruitment
efforts include continuous advertising, publicity, and referral
arrangements with agencies and organizations who have direct knowledge
of families in need of childcare services.
For each successful match we arrange, there is a ONE
TIME service fee which is due us half when submitting this form and the
other half within 10 days after placement.
The fee is the amount you would charge for ONE WEEK OF SERVICE.
For
example, if you charge $8.00 an hour and will be caring for a child 20
hours a week, the fee due us is $160.00 ($8.00 x 20 hours). The
fee is based on our costs of advertising and recruiting children and
for professional services rendered in matching children with
providers. The fee also entitles you to receive consultation help
in caring for children or running your business. There is never a
separate fee for those services. You simply call whenever you
need assistance.
If you are interested and would like to be a part on
the ground floor of this exciting and new service opportunity, the
first step is to complete the following application.
Filling out the application does not obligate you to
participate in this program, but if you are SINCERELY interested, I
urge you to complete it as soon as possible.
Sincerely;
Chris Reid
Application
to Become a Private Child Care Provider
Name:
______________________________
Telephone No: _________________________
Street: _______________________ City:
____________ State:
______ Zip: __________
Social Security Number: _____________________ Drivers License Number:
________________
Marital Status: ( ) Married ( )
Divorced ( ) Separated ( ) Single
Name and Ages of Children Living at Home:
___________________________________________
_____________________________________________________________________________
Educational
Level:
( ) Some High
School
( ) High School Graduate
( ) Some
College
( ) College Graduate
What is the state of your
health: ( )
Excellent ( )
Good ( ) Poor
If you marked "poor" or if you have any physical limitations or
handicaps, please explain: _________
_____________________________________________________________________________
Type of dwelling you live in:
________________________________________________________
Length of time living at current address:
______________________________________________
Do you have enough extra rooms for children to eat, nap and play:
___________________________
Please indicate any specialized training or paid experience in caring
for children: _______________
_____________________________________________________________________________
_____________________________________________________________________________
Are you now caring for any children - other than your own:
( )
Yes
( ) No
Is it a private arrangement:
______ or through a
community agency: ____________________
Ages accepted: ____________ License Capacity:
__________ Current number of children: _____
Please state why you are interested in caring for children:
________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Indicate days and hours you would be available to care for children:
_________________________
_____________________________________________________________________________
Will you accept a handicapped child or children of any race, religion
or ethnic background: ( ) Yes ( ) No
If no, please list restrictions:
______________________________________________________
_____________________________________________________________________________
Will you be willing to provide child care services in another person's
home (i.e., the employer of your services): ( )
Yes ( ) No
Do you have transportation to pick up and return children to their
homes - if necessary: ( ) Yes ( ) No
What fees will you be charging: 1.) Hourly Rate: ________
2.) Part Time Rate: __________ 3.) Drop In Rate:
__________ 4.) Full Time Rate: __________ wk.
REFERENCES: List 3
people (other than relatives) who have knowledge of your character and
ability to care for children:
1.) Name: __________________________________ Telephone:
_________________________
Street: ___________________ City: ______________ State: _____________
Zip: _________
2.) Name: __________________________________ Telephone:
_________________________
Street: ___________________ City: ______________ State: _____________
Zip: _________
3.) Name: __________________________________ Telephone:
_________________________
Street: ___________________ City: ______________ State: _____________
Zip: _________
STATEMENT
OF UNDERSTANDING AND AGREEMENT
I understand if I am accepted and agree to
participate in Childcare Directory Resource and Referral Agency, I will
be in
business
for myself and not as an employee of Childcare Directory Resource and
Referral Agency. I further understand that I will be free to
accept or
reject any referral made to me. For EVERY child successfully
placed from Childcare Directory Resource and Referral Agency, I agree
to pay said
company a ONE TIME service fee equal to one week's income for the
services I render. I agree to make a payment half a payment upon
submitting this form and the remaining half NO LATER than 10
days after placement for each child. Based on this understanding
and agreement,
I hereby submit my application for consideration as a private child
care provider. I certify that all the information contained in
this application is true to the best of my knowledge.
Signature: _______________________________________ Date:
_______________________
Email this completed application to Sales@Home-Childcare.org
