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IHC Family EOY Update
1
2
3
4
Parent/ Guardian
(Required)
First Name
Last Name
Email
(Required)
Mobile Phone
(Required)
How many Educators do you have?
(Required)
- select an option -
One
Two
Educator 1 Details
(Required)
First Name
Last Name
Will you be requiring this Educator again next year?
(Required)
- select an option -
Yes
No
What will be the last date your Educator will work this year?
(Required)
DD slash MM slash YYYY
What will be the first date your Educator will work next year?
(Required)
DD slash MM slash YYYY
Please accurately enter all of the typical hours that your family uses your educator's services so that an updated quote can be provided
Note that the below hours should reflect the hours that you are approved to use in the Family Management Plan provided to MLNA/ALHCA by the Support Agency
Monday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Friday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Educator 2 Details
First Name
Last Name
Will you be requiring this Educator again next year?
- select an option -
Yes
No
What will be the last date your Educator will work this year?
DD slash MM slash YYYY
What will be the first date your Educator will work next year?
DD slash MM slash YYYY
Please accurately enter all of the typical hours that your family uses your educator's services so that an updated quote can be provided
Note that the below hours should reflect the hours that you are approved to use in the Family Management Plan provided to MLNA/ALHCA by the Support Agency
Monday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Tuesday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Wednesday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Thursday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Friday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Saturday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Sunday
Shift 1 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 1 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Start Time
Hours
:
Minutes
AM
PM
AM/PM
Shift 2 Finish Time
Hours
:
Minutes
AM
PM
AM/PM
Confirmation
Do you understand that when an Educator attends a shift on a public holiday, you will be charged much higher out of pocket expenses? (Please contact us for a quote before allowing your Educator to work)
(Required)
Yes
Do you understand that Educators may claim KM reimbursement costs directly from you by using the link on our website?
(Required)
Yes
Click Here
Do you understand that if the length of the shift is shortened or lengthened, it may result in a higher out of pocket expense being charged? (Please contact us for a quote before making any changes)
(Required)
Yes
Do you understand that if either yourself or your Educator are taking time off, the Service must be contacted IN ADVANCE, so that we can offer alternate work or an alternate Educator?
(Required)
Yes
Do you understand that it is an offence under Family Assistance Law when Families allow or instruct Educators to enter sessions of care where a child or Educator is not present?
(Required)
Yes
Do you understand that it is an offence under Family Assistance Law when Families approve rather than reject timesheets that do not accurately reflect the attendance of the children in care?
(Required)
Yes
Do you understand that if a Family member or Educator is unwell, you must report to the Service immediately for advice?
(Required)
Yes
Do you understand that you must not ask Educators to participate in activities where there is a high risk of injury e.g. trampoline centers, rock climbing walls, ice skating etc.? (Educators are to encourage and assist children to undertake physical activities however must not participate themselves)
(Required)
Yes
Do you understand that if any incident occurs during a session of care involving injury, harm or trauma to or illness of a child, where medical attention was sought or ought to have been sought, or hospital attendance occurred, or where a child is missing or appears to have been taken, removed or locked in or out of a premises, it MUST be reported to the Service immediately?
(Required)
Yes
Do you understand that PRIOR to shifting to a new address that a new Home Safety Assessment must be completed and that it is your responsibility to notify the Service in advance?
(Required)
Yes
Do you understand that PRIOR to care being provided in a temporary alternate location, that the Service must seek permission from the Department of Education and that it is your responsibility to notify the Service in advance?
(Required)
Yes
Do you understand that Educators are entitled to take 2 paid interrupted on premises breaks for shift longer than 10 hours and 1 paid interrupted on premises breaks for shifts between 6 and 10 hours? (The children should either be asleep or be undertaking independent play whilst the Educator puts their feet up, can do some internet banking, have a cuppa, read a book while keeping an eye and ear out for the security, health and wellbeing of the children)
(Required)
Yes
Do you understand that Educators are to be given access to Wifi, permitted to serve an additional portion of food and snacks for themselves, modeling appropriate table manners and good eating habits?
(Required)
Yes
Educators are also required to fill in a separate form regarding the above. Have you spoken directly to the Educator? (If you have, we anticipate that both forms should be identical)
(Required)
Yes, Educator has been updated
No, please communicate with the Educator on my behalf
The information in this form will be used to update your future bookings. Would you like one of our team members to contact you to discuss further?
(Required)
Yes, I would like a call back
No, I do not require a call back
I confirm that all information completed within is true and accurate. I also agree to allow The Service to share my information with Educators and other authorised personnel.
(Required)
Yes
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