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 including Home-Based and Center-Based.

To participate in this, there are two basic requirements

• High School Diploma (Can be a certificate or a transcript from Burma, in the US or anywhere).
• ID or Birth Certificate

We invite you to register today at the registration link or by scanning QR code on the flyer. Orientation will be conducted in group or individually. We will contact you for the date of orientation once you register (Note: The first orientation for the first group of women was held on Jan 8th from 5:30PM-7:30PM.)

If you have any questions, please call us at 317-731-5537 for the EMED team or you can also stop by our office during office hours.

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Name *

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Date of Arrival in the US *

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Email

Which church/organization you affiliated 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? (please answer yes or no) *

If NO, is this due to lack of childcare support? (please answer with yes or no)

Will you prefer working if you can find a licensed home-based childcare provider, who is linguistically and culturally competent? (please answer with yes or no) *

What major considerations would you have when looking for childcare for your children? Please list examples: (Nangmah na fa lei childcare ah chiah ding siseh law, zei pawl khi dah a biapi bik tiah na ruah? Na ruahmi le tahchunhnak pawl chim tuah) *

Will you be intersted in obtaining Home-Based Child Care License as your professional job, if training would be provided? (Please answer with yes or no) *

If NO, what other types of professional training would you be mostly interested in? Please list examples *

Your highest education *

• Completed High School
• Hold College Degree (or above)
• Some years of college
• Not completed High School

Do you hold GED or High School Diploma from any country? (Answer with yes or no) *

If YES, the school name, year and country *

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

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