About this template
Finding and vetting reliable child care providers is one of the most critical responsibilities for daycare directors, preschool administrators, and families. This comprehensive Child Care Provider Information Form streamlines the collection of essential background details, licensing status, certifications, and experience levels in one centralized place.
Designed to capture everything from CPR and First Aid compliance to age group specialties, pet details, and hourly rates, this template ensures you gather complete and structured profiles for every candidate. Instead of chasing missing paperwork or disorganized emails, directors and coordinators can deploy this ready-to-use form instantly via Doc2Form.
Built for seamless integration with Google Workspace, responses automatically populate a secure Google Sheet for easy review, sorting, and compliance tracking. Elevate your hiring workflow and maintain rigorous safety standards by collecting standardized information from every prospective provider before they step into the classroom or home.
Key features
- Collect complete provider profiles, licensing status, and years of experience.
- Track vital safety credentials including CPR and First Aid certifications.
- Document age group specialties, preferred settings, and scheduling availability.
- Gather verifiable professional references and contact details in one submission.
- Automatically organize all applicant responses directly inside Google Sheets.
Use cases
Vetting new teacher candidates for licensed daycare centers and presc…
Vetting new teacher candidates for licensed daycare centers and preschools.
Screening in-home nanny applicants and babysitters for private families.
Collecting credential renewals and updated certifications from existi…
Collecting credential renewals and updated certifications from existing staff.
Onboarding independent contractors for after-school and summer camp p…
Onboarding independent contractors for after-school and summer camp programs.
What this form collects
- Provider Full Name (Short answer)Enter your first and last legal name.
- Email Address (Short answer)Provide the best email address for ongoing communication.
- Phone Number (Short answer)Include your primary mobile or contact number.
- Residential Address (Paragraph)Enter your current street address, city, state, and ZIP code.
- Child Care License Status (Multiple choice)Select your current licensing credential status.
- Child Care Experience (Dropdown)Indicate your total years of professional child care experience.
- Child Age Group Specialties (Checkboxes)Select all age groups you have experience caring for.
- CPR & First Aid Certification Status (Multiple choice)Are you currently certified in CPR and First Aid?
- Specialized Training or Certifications (Paragraph)List any additional credentials such as ECE units, CDA, Montessori training, or special needs care experience.
- Pets in Home Status (Multiple choice)If care is provided in your home, do you have any pets?
- Pet Details (Short answer)If you answered yes above, please list the types and breeds of pets present.
- Child Care Availability (Paragraph)Describe your availability (e.g., full-time, part-time, specific days/hours).
- Expected Rates & Payment Terms (Short answer)Specify your expected hourly rate or salary requirements.
- Professional References (Paragraph)Provide the names, phone numbers, and relationships for at least two professional references.
- Supporting Documents Link (Paragraph)Please paste a link to your resume, certification cards, or background check documents (Google Drive, Dropbox, etc.).
FAQ
How do I customize this child care provider form?
Once you open the template via Doc2Form, it creates a copy directly in your Google Drive. You can easily add, remove, or modify questions using the standard Google Forms editor.
Where are the provider submissions stored?
All responses flow securely into a Google Spreadsheet linked to your form, allowing you to review credentials, filter by availability, and track applicant statuses easily.
Can I collect copies of certifications and licenses?
While Google Forms does not natively upload files directly through standard text items, providers can easily paste a shareable link (such as Google Drive or Dropbox) to their license, resume, or background check documentation.
Is this template free to use?
Yes! This template is completely free to convert into a working Google Form using Doc2Form.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.