RUMO Child Care Become Provider

RUMO Licensed Home Child Care Provider Application

Section 1: Basic Information

Full Name

Email Address

Phone Number

Home Address (Street, City, Postal Code)

What language do you speak?

Have you worked with an Agency before? Or Unliscensed?

Lisenced with an angency Unliscensed Other

Section 3: Experience & Availability

Why are you interested in becoming a licensed home child care provider with RUMO?

Do you have any previous child care experience?

Yes No

If Yes: Please describe briefly:

Do you currently care for any children at home?

Yes No

If Yes: How many and what are their ages (if any under 13 years old)?

When would you be ready to start operating your daycare?

What age groups are you open to caring for?

Infants (0–18 mo) Toddlers (18 mo–2.5 yr) Preschoolers (2.5–5 yr) School-age (6+)

Your home daycare operation hours:

Section 4: Requirements & Licensing

Do you currently have valid First Aid & CPR (Level C)?

Yes No

Are you willing to obtain a Vulnerable Sector Check (VSC)?

Yes No

Are you able to provide a medical assessment and immunization record?

Yes No

Section 5: Final Declarations

Do you have a dedicated space in your home suitable for child care (e.g., separate play area, nap space, etc.)?

Yes No

Please upload your resume (optional) Upload 1 supported file: PDF, document or image. Max 10 MB.

How did you hear about RUMO?

Facebook Google Search/Online Search Referal from a friend or current RUMO family Instagram Flyer Or Poster in the community Local child care resource or city website Walked by a RUMO home daycare location

Any other information you would like to share with us?

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