Provider enquiry
A few details so we can call you for a 30-minute conversation. The full application comes later, with us.
Preview only: the form and its messages are built in W09.
Form
| Field | Type | Required | Note |
|---|---|---|---|
| Your name | text | yes | |
| yes | |||
| Phone | tel | yes | |
| Region | choice: Peel / Niagara | yes | |
| City | text | yes | |
| Type of home | choice: detached / semi-detached / townhouse / apartment / basement apartment | yes | |
| Where the child care would run | choice: main floor / basement / other | yes | |
| Your experience with children | textarea, 500 characters | no | Your own children count |
| When you could start | month | no | |
| First aid and CPR-C | choice: have it / willing to get it | yes | |
| Anything else | textarea, 500 characters | no | |
| (honeypot, hidden) | text | must stay empty | |
| Turnstile |
Button: Send
What happens next
We call you within [[one week]]. If it sounds right on both sides, we arrange an interview and a visit to your home.
Your information
We use what you send only to talk with you about becoming a provider. It goes to CLG's office mailbox and nowhere else, and we keep it for [[six months]] unless you go on to apply. Privacy
Preview only: the form and its messages are built in W09.
After sending
Thank you. We'll call you within [[one week]]. If you'd rather talk sooner, call 905-821-3424.
Preview only: the form and its messages are built in W09.
If something goes wrong
We couldn't send your enquiry. Please try again, or call 905-821-3424.