Membership application form - Northern Ireland Childminding
Transcription
Membership application form - Northern Ireland Childminding
the Childminding Association Membership application form Valid for any applications made between 1 APRIL 2014 – 31 MARCH 2015 “Working to promote quality home based childcare and learning for the benefit of children, families and communities” WHO ARE WE? ABOUT NICMA – the Childminding Association NICMA - the Childminding Association is a regional charity and membership organisation which works to promote quality child care within home based settings. NICMA understands childminding – it was formed by a group of childminders in 1984 who recognised the need for a support network for childminders, parents and children involved in homebased daycare. The Association has grown to a current membership of over 2,500 registered childminders. YOUR MEMBERSHIP PACKAGE INCLUDES THE FOLLOWING SERVICES: INFORMATION: MEMBERSHIP PACK: Every NICMA member receives a pack of information to help with the business side of childminding – including contract forms and guidance, child record forms - to enable childminders to run a professional service. HELPLINE: NICMA’s telephone Information Helpline 028 9181 1015 is staffed Monday – Thursday (9.00am – 4.00pm), Friday (9.00am – 1.00pm) to answer queries from members and information is available on our website 24/7. ‘CHILDMINDING MATTERS’: NICMA’s magazine provides up to date information on childminding issues, training and new developments within the organisation. PUBLICATIONS: A range of leaflets, publications and posters to help childminders run their business effectively. SUPPORT: CHILDMINDING GROUPS: To provide Childminders with a support network within their own community. Groups can offer training, toys, equipment and book libraries, social events, outings for childminders and children, emergency sickness cover. CHILDMINDING VACANCY SERVICE: Our computerised database holds up to date details of your vacancy situation. With this information we can bring you new business by putting parents in touch with you. ON LINE VACANCY SERVICE: To give Childminders the opportunity to advertise their places on NICMA’s web site. This is self-managed by the Childminder. AGM / CONFERENCE: NICMA’s Annual Conference provides members with the opportunity to network with childminders all over Northern Ireland. -------------------------------------------------------------------------------------------------------------------------------NICMA – the Childminding Association, 16 – 18 Mill Street, NEWTOWNARDS, BT23 4LU Tel: 028 9181 1015 Fax: 028 9182 0921 Email: [email protected] www.nicma.org Please retain this page for your records CHILDMINDING DEVELOPMENT OFFICER: NICMA has Childminding Development Officers available in all areas of Northern Ireland to provide you with support. INSURANCE COVER: Public Liability: Each Childminder is covered for up to £5 million for the accidental injury / death of any child in their care. Damage to the property of third parties. NICMA Support Group Toy Libraries – insurance free of charge Please note – household contents are not covered. Social Services – De-registration Insurance: Legal expenses up to a limit of £50,000 in respect of anything done or not done by you or members of your family resulting in the Social Services Trust removing or suspending your registration. Legal expenses: Cover of approx £50,000 for defence of any criminal prosecution or civil prosecution arising from normal childminding duties and responsibilities. Pre-prosecution defence – access to free legal representation at any investigation that may result in a prosecution. Free legal advice: 24 hours a day, 7 days a week, NICMA members may have access to Legal Advice Line offering free advice on any legal problems. Domestic Assistance: Provision of a 24 hours a day, 7 days a week telephone helpline for NICMA members to access emergency assistance, eg. plumbers, glaziers etc. – actual cost of repair, callouts etc. to be met by individual. Optional – Employers Liability Insurance: If you employ an assistant, it is a legal requirement to hold Employers Liability Insurance cover. Contact NICMA Office for further details SURESTART CHILDMINDING NETWORKS: Dedicated groups of Childminders attached to SureStart projects. TRAINING & QUALIFICATIONS: Range of training courses and qualifications to assist you to meet Minimum Standards registration requirement and enhance your childcare practice. MEMBERSHIP SERVICES COMMENCE FROM CHOSEN DATE PROVIDING ALL APPROPRIATE DOCUMENTATION AND PAYMENT HAS BEEN RECEIVED. CHECKLIST Have you enclosed: 1. A photocopy of your MOST RECENT Registration Certificate. (We will also accept a letter from Social Services stating that your registration process has been completed, which must be followed by your Registration Certificate when received). 2. Payment: cheque / postal order payable to NICMA / credit/debit card details or cash (only payable in person at NICMA Office). 3. A Completed Membership Application Form. All information supplied on this membership application form is subject to “The Data Protection Act 1998” and will not be used for any purpose other than that for which it is given. -------------------------------------------------------------------------------------------------------------------------------NICMA – the Childminding Association, 16 – 18 Mill Street, NEWTOWNARDS, BT23 4LU Tel: 028 9181 1015 Fax: 028 9182 0921 Email: [email protected] www.nicma.org Please retain this page for your records For office use only DATE RECEIVED: DEPOSIT PAID: RECEIPT NO: MEMBERSHIP NO: PUBLICATIONS ASST MEMBERSHIP NO: APPLICATION FOR MEMBERSHIP Annual Membership fee (new member) Standard Renewal fee (existing member) Loyalty Renewal fee (member continuously for 7 years or more) Assistant Membership Fee (for additional member at same address) £ 120.00 £110.00 £ 100.00 £ 55.00 IMPORTANT: Do not allow a break in your NICMA membership If you allow your membership to lapse and rejoin us after a break, you will not be protected by NICMA insurance during the lapsed period. If a claim is then made against you relating to an incident occurring during that period, NICMA cannot protect you. Please state the month in which you wish your membership to commence: st Membership runs for 12 months 1 _____________________ 20____ (month) (year) YOUR NAME ___________________________________ ADDRESS ___________________________________ TOWN ___________________________________ POSTCODE ___________________________________ IS THERE AN ALTERNATIVE BT AREA FROM WHICH YOU COULD ALSO CARE FOR CHILDREN FROM? BT ______ TELEPHONE NUMBER ___________________________________ MOBILE TELEPHONE NUMBER EMAIL ADDRESS *NATIONALITY ___________________________________ ___________________________________ ___________________________________ *Please note that this information will be used for statistical purposes only DO YOU WORK WITH AN ASSISTANT ASSISTANT NAME Yes No PAYMENT OPTIONS Option 1 Payment in full at time of application. Option 2 NICMA will accept four personal cheques - one dated currently and three post-dated with one month apart. Example: Application made for Membership at £110 in April 2014 accompanied by first cheque for £47.50 (current date), second cheque for £27.50 dated May 2014, third cheque for £27.50 dated June 2014 and final cheque for £27.50 dated July 2014. Total paid £130.00 Option 3 NICMA will process the first instalment by card at the time of application and will hold the card details securely for three further payments to be made over the next three months. NB: Options 2 & 3 will include £20 fee for admin Please send me the following publications with my Membership Pack: ___________________________________ **Please ensure that he/she is also a NICMA Member and named on a Registration Certificate (see reduced rate above) OPTION 1: OPTION 2: OPTION 1: Payment by credit/debit card: OPTION 3: Card No. _________ / ________ / ________ / ________ Payment by Cheque / postal order: Start Date: ____ / ____ Expiry Date: ____ / ____ Cash & Attendance Register £12.00 Accident / Incident Record Book £ 4.75 Pre-printed Policy Pack* £10.00 *(free to download from Members Forum on NICMA website) £ £ £ £ Issue No. _____ £ £ £ £ £ £ Security No. _____ Under Compulsory School Age / under 5 Enter the number of children you are registered to care for: (refer to your registration certificate) Enter the number of children you are currently minding: Enter the number of vacancies you wish to fill: (it will be assumed if vacancy boxes are left blank that you have no vacancies to fill) Do you wish to be included on our Childminding Vacancy Database? (if no your name will not be given out to parents by NICMA) Yes No Over Compulsory School Age / over 5 Yes No Do you belong to a NICMA Childminding Support Group / Drop In / Buddy Group? If yes, which one: ______________________________________ Do you care for a child with additional needs? - If no, would you be interested in offering childcare for a child with additional needs? - If yes, would you be interested in attending appropriate training to support you? TRAINING WHICH YOU HAVE COMPLETED WITHIN THE LAST 12 MONTHS ONLY Childminder Date Assistant Date Course Title Completed Completed Safeguarding Children Training Provider Health & Safety in the Childminding Setting Paediatric First Aid (12 hours) Paediatric First Aid (3 hours) Getting Off to a Good Start (Business Training) Minimum Standards User guide workshop Promoting Positive Behaviour in the Early Years Developing an Awareness of Caring for Children with Additional Needs Promoting Inclusion & Diversity Promoting Children’s Emotional Wellbeing Child Development (0 – 4 years) Quality First Level Level Date Date Quality First Re-approval Level 3 Diploma for Children’s Care Learning & Development Other Early Years Training: DECLARATION OF VALIDITY I declare that the enclosed registration certificate is currently valid and that I have not been issued with any amendment. I will forward any amended certificate to NICMA should the need arise and I will notify NICMA if my registration becomes invalid during my membership year. Signed:__________________________ Date: ____________________ (Childminder) Signed:__________________________ Date: ____________________ (Assistant) NICMA reserves the right to refuse any application for membership if the information supplied is found to be inaccurate or the terms of registration are under investigation. NICMA membership is open to all those who agree to abide by the policies of NICMA and not to bring NICMA into disrepute.