Name *

First Name

Last Name

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Does your family support your decision? *

Yes

No

Have you thought about which areas of your home you would use for the child care space? *

Yes

No

Do you know where to go for training or help in running your family child care business? *

Yes

No

Are you comfortable working with licensing requirements and governmebt regulations? *

Yes

No

Do you have the time to learn the necessary skills or hire those with the necessary skills to have a successful family child care program? *

Yes

No

Have you undertaken similar responsibilities that have demonstrated your motivation and determination needed to make your business successful? *

Yes

No

Do you have access to funds that may be needed to start your business? *

Yes

No