ChildCare Licensure Program Application

We are excited to announce that in partnership with the State of Indiana, BACI will be implementing a Child Care Licensure Program focusing on Home-Based.

To participate in this, there are two basic requirements

• High School Diploma (Can be a certificate or a transcript)
• ID or Birth Certificate

We invite you to register through the form below. Orientation will be conducted in group or individually.

Orientation Date: Sep 9, 2024

Time: 5:30PM

If you have any questions, please call us at 317-7321-5537 for the EMED team or you can also stop by our office during office hours.

Please enable JavaScript in your browser to complete this form.

Name *

Email *

Phone # *

Address (Include zip code) *

Date of Arrival in the US *

Which Church/Organization you affliliated with? *

How many children do you have in your family who are under 13 years old? *

How many of the child(ren) is (are) your own child? *

Are you employed? *

• Yes
• No

Do you hold GED or High School Diploma from any country? *

• Yes
• No

If YES, the school name, year and country

If No, would you be interested in getting GED?

Do you own a home? (Please answer with yes or no) *

• Yes
• No

Submit

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