Newsletter
Latest News
Contact Info
 
21 Campese Tec Nambour. 4560

Email: 
enquiries@crfamilyday
careproviders.com.au


P: 1800 139 109
P: 54 76 33 73

   

  Family Day Care Providers C & R Cowling-
  Scaife are pleased to let you know that we
  have vacancies in the following areas:

  Please download our Latest vacancies PDF
  document by clicking here.

  Please use the key to the right to be able to
  follow the vacancies table. Vacancies list was
  Last updated 11/01/2010.

 
Please contact the coordination unit if you are
  interested in these vacancies. We are looking
  forward to hearing from you soon.

    WAITING LIST APPLICATION FORM
    
    Completing this form and clicking submit will place you on the waiting list for a spot with
    a family day care provider. There is no fee for being on the waiting list and you are not
    obligated to accept a place with us when one becomes available.

    The information collected below will be used to: place you on the appropriate waiting
    list/s; contact you about available vacancies and other services; assess your needs
    according to the
Priority of Access Guidelines; and to provide the best possible care
    for your child. Your details will be kept secure and can be updated by you at any time by
    contacting Children's Services.
    __________________________________________________________________
    

 Date of Application: 
 Desired Commencement Date: 
 Days you require (please check the  required days' boxes).
Monday Start Time


Finish Time
Tuesday
Start Time

Finish Time

Wednesday

Start Time

Finish Time
Thursday
Start Time

Finish Time
Friday
Start Time

Finish Time

Are you flexible to take the first day
that becomes available for your child?

Yes  No

CHILD DETAILS
Male    Female
Surname:
First Name:
D.O.B. (requirement to receive CCB)
Address: 
PARENT 1
(This must be the parent who receives child care benefit)
Mr   Mrs   Ms
Surname:
First Name:
D.O.B. (requirement to receive CCB)
Address:
Home Phone:
Mobile Phone:
Business Phone:
Working 
Studying 
Training
Looking for work 
Other - Please specify


PARENT 2
Mr   Mrs   Ms
Surname:
First Name:
D.O.B. (requirement to receive CCB)
Address:
Home Phone:
Mobile Phone:
Business Phone:
Working
Studying
Training
Looking for work
Other - Please specify
GENERAL QUESTIONS
Does the cild or parent have a disability/
medical condition (eg: Diabetes, allergies,
Epilepsy etc?) if so please specify.
This information is needed so we can accommodate you and your child's needs
Please state the nature of the disability: