Application for Registration of an Early Childhood Centre

Application No.(for official use ONLY)

Date of Application *

ECCE Proprietor

Police Certificate of Good Character for Proprietor *

Only .pdf .jpg .jpeg and .png files will be accepted

First Name *

Middle Name

Last Name *

Form of Identification *Passport, Driver's Permit, Identification Card

Upload a scan of one form of ID *

Only .pdf .jpg .jpeg and .png files will be accepted

Form of Identification *Passport, Driver's Permit, Identification Card

Upload a scan of one form of ID *

Only .pdf .jpg .jpeg and .png files will be accpeted

Street Address *

Apartment, suite etc

City *

Is your mailing address different from your primary address? *

Mailing Address (If different from above)

Apartment, suite, etc

City

Email Address *

Primary Contact Number *Must be in the form +1 868 123 4567

Secondary Contact NumberMust be in the form +1 868 123 4567

Information on Centre

Name of Centre *

Address of Centre *

City

Email Address *

Telephone Number *Must be in the form +1 868 123 4567

Fax NumberMust be in the form +1 868 123 4567

Building is: *

Type of Centre *

Faith-BasedPrivateSERVOLCommunity Board

The Aforementioned Centre is Housed in: *

Type of Service(s): *

Before/ After CarePre-school OnlyPre-school/ Day Care

Copy of notification to Children’s Authority *

Only .pdf .jpg .jpeg and .png files will be accepted

Please specify *

Type of Curriculum to be Offered: *

Ministry of Education National Curriculum GuideOther

Please specify: *

Framework for evaluation of student’s performance *

Number of Children to be Accommodated *

Daily schedule *

Number of Teaching Staff *

Number of Rooms *

Information on class size, number of classes; teachers assigned *

Number of School Hours per Day *

Opening Time *

Hours

Minutes

Hours of Operation

Closing Time *

Hours

Minutes

Hours of Operation

Is there an area allowed for outdoor play? *

File Upload Required - Plan showing layout of school premises *

Only .pdf .jpg .jpeg and .png files will be accepted

Health and Safety Policy *

Procedure for Handling Complaints *

Behaviour Policy *

Teacher Bio-Data and Qualifications

Teacher's First Name *

Middle Name

Last Name *

Police Certificate of Good Character *

Only .pdf .jpg .jpeg and .png files will be accepted

Form of Identification *Passport, Driver's Permit, Identification Card

Upload a scan of one form of ID *

Only .pdf .jpg .jpeg and .png files will be accepted

Sex *

Teacher's Date of Birth *

Number of Years Teaching Experience *

Teacher Registration Number

Only .pdf .jpg .jpeg and .png files will be accepted

Number of O'Level Passes *

Number of Advanced Level Passes *

O'Level and A Level Certificates *

No file chosen

Did you receive a Certificate in Early Childcare and Education? *

Name of the Institution *

Duration of the programme in years *

Certificate in Early Childcare and Education *

Do you possess a university degree in ECCE from an accredited institution? *

Name of the Institution *

Duration of the programme in years *

Degree in Early Childcare and Education *

Teacher Resume *

Other Supporting Files

Documentary evidence of approvals from Government Agencies

Water and Sewerage Authority (WASA) approval *

Electrical Inspectorate (Public Utilities Commission) *

Fire Life Safety Inspection Certificate *

Approval from County Medical Officer, Ministry of Health *

Town and Country Planning Approval *

Certificate of Business Registration from Ministry of Legal Affairs *

General Environment Conditions

External

Fenced

Condition Rating *

Remarks

Paved

Condition Rating *

Remarks

Grass

Condition Rating *

Remarks

Drainage

Condition Rating *

Remarks

Play Area

Condition Rating *

Remarks

Statutory Declaration - Registration of an ECCE Center *

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