Imagine U Intern Application
Fill out the form below to apply to Imagine U, a family child care mentorship program that will support you on your path to becoming a licensed child care provider! The program is designed exclusively for individuals who are committed to opening their own family child care business.  
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Email *
Tell us about yourself.
First Name *
Last Name *
Email Address *
Phone Number *
STARS ID - If you do not have a STARS ID, learn how to apply for one here: https://www.dcyf.wa.gov/sites/default/files/pdf/RegistrationInformation.pdf
Have you completed and passed a Portable Background Check?  You can apply for it after you have a STARS ID and it is required before you can start working in childcare. http://www.dcyf.wa.gov/services/earlylearning-profdev/merit/training?field_category_target_id=88 *
Street Address (Example: 16000 Christensen Road) *
City (Example: Pasco) *
Zip Code (Example: 98146) *
Preferred Language
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Preferred Mentor
Do you have a high school diploma, GED, or equivalent? *
Do you have any degrees of certificates in Early Childhood Education or a related field? *
Do you currently reside in the home in which you plan to open your child care? *
Child Care Experience
How many years of child care experience do you have? *
Which age groups have you worked with? *
Have you ever been licensed to provide child care in Washington State? *
Are you committed to participating in Imagine U and becoming a licensed family child care provider caring for subsidized children? *
When do you want to become licensed? *
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