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  • The Imagine Institute
    16000 Christensen Rd Suite 201
    mentors@imaginewa.org
    www.imaginewa.org
     

  • IMAGINE U - INTERN APPLICATION

    IMAGINE U - INTERN APPLICATION

  • FORM PURPOSE:

    Please complete this application for Imagine U, a mentorship program that will support you on your path to becoming a licensed family child care provider.  The Imagine U program is designed exclusively for individuals who are committed to:

    • Opening their own licensed family child care business
    • Enrolling at least one child who receives a Wasington State child care subsidy
    • Gaining additional technology support through the licensing process
    • Have a commitment to racial equity

    Applicants will be notified of next steps for the Imagine U program by email. Read and follow the instructions carefully before submitting your application.

     

  • IMAGINE U - INTERN APPLICATION

    ABOUT YOU
    IMAGINE U - INTERN APPLICATION
  • Format: (000) 000-0000.
  • Is there an apartment or unit number associated with your address?*
  • What other language are you comfortable communicating in?*
  • Do you currently live in the home where you plan to open your child care?*

  • IMAGINE U - INTERN APPLICATION

    EARLY CHILDHOOD EXPERIENCE
    IMAGINE U - INTERN APPLICATION
  • Do you have a STARS ID?*
  • A portable background check is required by DCYF before you can start working in child care. Have you completed and passed a portable background check?*
  • How many years of child care experience do you have?*
  • Which age groups have you worked with? (Please select all that apply)*
  • Rows

  • Commitment to serving families receiving child care subsidy

    The Imagine U program applicants must commit to serving families who receive a child care subsidy.  Applicants who will not serve subsidized families are not eligible for the program.
  • What is your highest level of education?*
  • Is your degree in Early Childhood Education or a related field?*

  • EDUCATION

    Applicants who have either obtained a high school diploma or GED equivalent are eligible for the Imagine U program.  Additional educational requirements after licensure may be required to maintain your license. 

  • IMAGINE U - INTERN APPLICATION

    PROGRAM EXPECTATIONS
    IMAGINE U - INTERN APPLICATION
  • Rows

  • SCHEDULING AND ATTENDANCE

    Applicants who are not available to attend regularly scheduled trainings OR cannot complete the 20 monthly paid internship hours will not qualify for the Imagine U program.  
  • Do you have a preferred mentor you wish to work with?*

  • IMAGINE U - INTERN APPLICATION

    ECE SUBSTITUTE POOL
    IMAGINE U - INTERN APPLICATION
  • Are you an approved Early Care and Education substitute?*
  • How many shifts have you worked as an ECE substitute?*
  • Are you planning on continuing your work as a substitute throughout your participation in the Imagine U program?*

  • IMAGINE U - INTERN APPLICATION

    REFERRAL INFORMATION
    IMAGINE U - INTERN APPLICATION
  • How did you hear about the Imagine U program?*
  • Which social media site provided information about the Imagine U program?*
  • Which news source provided information about the Imagine U program?*

  • IMAGINE U - INTERN APPLICATION

    DEMOGRAPHIC INFORMATION
    IMAGINE U - INTERN APPLICATION

  • The Imagine Institute is dedicated to racial equity and inclusion. Whenever possible, the organization will collect both racial/ethnic demographics of program participants and primary language preferences to determine the impact of services and opportunities provided to early childhood educators and contractors in Washington State.

    Information regarding gender, ethnic origin, and race are optional. The information is requested in no way affects your program approval. 

  • Which demographic categories below apply to you?*
  • What language(s) do you speak? Please select all that apply*
  • Which gender identity categories below apply to you?*
  • What pronouns do you prefer?*
  • The following question is about health problems or impairments you may have. Are you limited, in any way, in any activities because of physical, mental or emotional challenges?*

  • SUBMISSION

    SUBMISSION

  • Program Eligibility: The Imagine Institute does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.

  • By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

  • FY 25 Accepted*
  • The Imagine Institute
    16000 Christensen Rd Suite 201
    mentors@imaginewa.org
    www.imaginewa.org
     

  •  


    You will need to obtain a STARS ID.  You can obtain your STARS ID by: 

    • Contacting Imagine's technical assistance program at 206-492-5249 for assistance in creating your STARS ID.
    • Filling out the MERIT Registration form (they will issue a STARS ID number)

     

  • The Imagine Institute
    16000 Christensen Rd Suite 201
    mentors@imaginewa.org
    www.imaginewa.org
     

  • WASHINGTON STATE RESIDENCY

    The Imagine U program is open to current Washington State residents who have not previously opened and operated a licensed family child care business in Washington state.  APPLICANTS MUST CURRENTLY RESIDE IN THE HOME THEY PLAN TO HAVE APPROVED FOR LICENSING. 

    COMMITMENT TO SERVING FAMILIES RECEIVING CHILD CARE SUBSIDY

    The Imagine U program applicants must commit to serving families who receive a child care subsidy.  Applicants who will not serve subsidized families are not eligible for the program.

    EDUCATION

    Applicants who have either obtained a high school diploma or GED equivalent are eligible for the Imagine U program.  Additional educational requirements after licensure may be required to maintain your license. 

    SCHEDULING AND ATTENDANCE

    • Applicants who are not available to attend regularly scheduled trainings will not qualify for the Imagine U program. 
    • Applicants who cannot complete the 20 monthly paid internship hours will not qualify for the Imagine U program.  
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