Get Registration And Employment History For Providing Des-certified Child ... - Azdes

Filling out the Registration And Employment History form is essential for individuals seeking to provide certified child care services in Arizona. This guide offers a detailed, step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editing tool.
2. Begin by entering the date at the top of the form. This indicates when you are completing the application.
3. Next, fill in the name of the person being fingerprinted, including their last name, first name, and middle initial.
4. Provide the social security number of the individual whose information you are submitting. Ensure its accuracy to avoid issues.
5. State the occupation of the individual and include the child care provider's name if it is different from the person being fingerprinted.
6. Complete the employment history section by starting with the most recent job. Fill out each employer’s name, job title, and employment dates.
7. For each job listed, include the employer's address and phone number. Ensure that all contact information is correct and up to date.
8. Indicate the reason for leaving each position as applicable. If you have worked with children, specify the employer's name and address.
9. Be sure to answer the questions regarding past employment with children and any Child Protective Services investigations.
10. In the household composition section, list the names, dates of birth, and relationships of all individuals aged 18 or older living in your home.
11. Ensure that you understand the notification requirements for any new residents in your home.
12. Finally, you may need to complete the Certification Statement for Providing DES Child Care Services in the presence of a notary public.
13. Once all sections are complete, save your changes, download or print the document for your records, and share it if necessary.

Complete your forms online today to ensure a smooth registration process.