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How do I fill this out?
Filling out this application form is straightforward. Begin by gathering all the required documents listed in the instructions. Make sure to complete every section and verify your information before submission.

How to fill out the Family Child Care Home Staff Application Guide?
1
Gather all necessary documentation including references and training certifications.
2
Complete the application form accurately with all required personal information.
3
Attach your payment, ensuring the check is made payable to the Treasurer of the State of Connecticut.
4
Submit your completed form along with all attachments to the Office of Early Childhood.
5
Wait for a confirmation email regarding the status of your application.
Who needs the Family Child Care Home Staff Application Guide?
1
Individuals applying for staff positions at Family Child Care Homes need this form.
2
Current Family Child Care staff seeking licensure must complete this application.
3
Persons looking to work as substitutes in child care need to file this application.
4
Those providing references for applicants also need to understand this form's requirements.
5
Anyone transitioning from foster care or adoption services to child care will require this documentation.
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What are the instructions for submitting this form?
To submit the Family Child Care Home Staff Application, send the completed form along with the application fee to the Office of Early Childhood at 450 Columbus Boulevard, Suite 302, Hartford, Connecticut 06103. You may also fax your application to (860) 326-0552 or call (860) 500-4450 for inquiries. Ensure that your application is complete and accurate to avoid delays in processing.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the submission deadlines, which vary based on your start date in child care positions. Ensure to submit applications well in advance of your intended start date for licensure processing. Keep updated with the Connecticut Office of Early Childhood for any specific changes or announcements.

What is the purpose of this form?
The purpose of the Family Child Care Home Staff Application is to ensure compliance with state regulations for individuals seeking to work in child care settings. This application serves as a formal request for licensure, providing the Licensing Division with necessary background and qualifications of prospective staff. By filling out this form, applicants can demonstrate their commitment to child care standards and regulations.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Name: Full name of the applicant including middle name.
- 2. Date of Birth: The birth date of the applicant to verify age requirements.
- 3. E-mail Address: Contact email for communication regarding the application.
- 4. Home Telephone: Primary contact number for the applicant.
- 5. Work Telephone: Secondary contact number, if applicable.
- 6. Cell Telephone: Mobile contact number for quick communication.
- 7. Former Names: Any other names the applicant has been known by.
- 8. Address: Current residential address of the applicant.
- 9. Mailing Address: Address for correspondence, if different from residence.
- 10. Check/Money Order: Amount enclosed for the application fee.
What happens if I fail to submit this form?
Failure to submit this form will prevent individuals from working in Family Child Care settings. Delays in the application process may also lead to missed employment opportunities. It is crucial to ensure all parts of the application are accurately completed and submitted timely.
- Incomplete Applications: An incomplete application may lead to processing delays.
- Missing Documentation: Failure to submit required documents could result in denial of the application.
- Payment Issues: Improper payment submission can hinder application processing.
- Background Check Failure: If the background check reveals issues, the application may be rejected.
- Failure To Comply With Regulations: Non-compliance with state regulations will prevent licensure.
How do I know when to use this form?

- 1. New Staff Applications: For individuals applying for the first time.
- 2. Staff License Renewals: For current staff members needing to update their credentials.
- 3. Substitute Staff Applications: For persons looking to work on a temporary basis.
- 4. Foster Care Transition: For applicants moving from foster care to child care roles.
- 5. Reference Submission: To provide required references for new applicants.
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