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Blank Texas 2947 PDF Template

The Texas 2947 form is a critical document used by child care centers in Texas to collect essential information about their personnel. This form helps ensure that caregivers are properly trained and equipped to foster a safe and nurturing environment for children. By gathering data on qualifications, training, and health requirements, the Texas 2947 form plays a vital role in promoting quality child care across the state.

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Contents

Form Example

Age-appropriate activities for children. Fostering children’s self-esteem. Positive interaction with children.

Preventing the spread of communicable diseases.

Texas Dept of Family and Protective Services

CHILD CARE CENTER

PERSONNEL INFORMATION RECORD

“Texas law gives you the right to know what information is collected about you by means of a form you submit to a state government agency. You can receive and review this information, and request that incorrect information about you be corrected by contacting your licensing representative.”

Form 2947 January 2005

NAME:		ADDRESS:				PHONE #:
						-	-

DATE OF BIRTH:		DATE OF EMPLOYMENT:		DATE CHC SENT TO DFPS:			T.B. TEST DATE:
-	-	-	-	-	-		-	-

NAME OF HIGH SCHOOL:

GRADUATED?		GRADUATION DATE / GED
Yes	No	-	-

COLLEGE:

DEGREE:

CAREER PROGRAM (if applicable.):

INSTRUCTOR:

WORK SCHEDULE:
HOURS:			DAYS:
CPR			First Aid Training
Exp.Date:	-	-	Exp.Date:	-	-

ATTENDANCE MAINTAINED

Sign in log	Time sheet

PREVIOUS EXP/TRAINING WHERE AND HOW LONG

PRE-SERVICE TRAINING For Caregivers only

Check all that apply:

Staff with previous child care experience or training. (DOES NOT REQUIRE 8 HRS OF PRE-SERVICE), OR

Staff without previous child care experience or training. Before being counted in the child/caregiver ratio, I received 8 hours of pre- service training in the following areas:

Developmental stages of children. Positive guidance and discipline of children.

Supervision and Safety practices in the care of children.

Staff will not be working with children younger than 24 months. (DOES NOT REQUIRE THE TRAINING LISTED BELOW), OR Staff will be working with children younger than 24 months. Before being given counted in the child/caregiver ratio for a group of children younger than 24 months of age, I received one hour of pre-service training in:

Recognizing and preventing shaken baby syndrome and sudden infant death syndrome; and Understanding early childhood brain development.

Employee Signature		Date

Trainer Signature		Date

EMPLOYEE AND VOLUNTEER ORIENTATION

In addition to being oriented in the understanding of children and in job expectations, I have been oriented in:

An overview of the minimum standards for child care centers.

The Center's operational policies, including discipline, guidance, and the release of children.

The use and location of fire extinguishers and first aid equipment.

The procedures to follow in handling emergencies, including fire, explosion, tornado, toxic fumes, volatile persons, and severe injury or illness of a child or adult.

An overview of symptoms of child abuse, neglect, and sexual abuse and the responsibility for reporting these.

I have received a copy of the child-care center’s operational policies.

I have received a copy of the child-care center’s written personnel policies including my job, job responsibilities, and requirements.

Employee Signature		Date

Trainer Signature		Date

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Common mistakes

Incomplete Personal Information: Many individuals forget to fill out all required fields, such as the name, address, and phone number. Omitting this information can delay processing and cause confusion.
Missing Dates: It is common for people to overlook important dates, such as the date of birth or date of employment. Providing accurate dates is essential for verifying qualifications and employment history.
Incorrect Training Documentation: Some applicants fail to check the appropriate boxes regarding previous training or experience. This can lead to misunderstandings about their qualifications and the need for additional training.
Neglecting Signatures: Individuals often forget to sign the form or have their trainer sign it. Without these signatures, the form may not be considered valid, resulting in delays in the approval process.

Key takeaways

When filling out and using the Texas 2947 form, it’s essential to keep the following key takeaways in mind:

Understand the Purpose: The Texas 2947 form is designed to collect essential information about child care center personnel. This information helps ensure compliance with state regulations.
Complete All Sections: Make sure to fill in every section of the form accurately. This includes personal details, employment dates, and training information.
Pre-Service Training Requirements: Depending on your previous experience, you may need to complete specific pre-service training. Staff with prior experience may not require the full 8 hours of training.
Child-Caregiver Ratios: Be aware of the regulations regarding child-caregiver ratios, especially if you will be working with children under 24 months. Additional training is required in this case.
Review Your Rights: Texas law grants you the right to know what information is collected about you. You can request corrections if you find any inaccuracies in your records.
Orientation is Key: Ensure that you participate in a thorough orientation covering minimum standards, operational policies, and emergency procedures. This knowledge is crucial for providing a safe environment for children.

By keeping these points in mind, you can navigate the Texas 2947 form process more effectively and contribute positively to the child care environment.

⇓ Texas 2947 PDF

Steps to Using Texas 2947

Filling out the Texas 2947 form is an important step in ensuring compliance with state regulations regarding child care personnel. Follow these steps carefully to complete the form accurately.

Gather necessary information. Before starting, collect all relevant personal details, such as your name, address, phone number, date of birth, and employment dates.
Complete personal details. Fill in your name, address, phone number, date of birth, date of employment, and the date the form was sent to the Texas Department of Family and Protective Services (DFPS).
Document T.B. test date. Enter the date of your tuberculosis (T.B.) test.
Education history. Provide the name of your high school, indicate whether you graduated, and include your graduation date or GED information. If applicable, list your college degree and career program, along with the instructor's name.
Work schedule. Specify your work schedule, including hours and days.
Training information. Record the expiration dates for your CPR and First Aid training.
Attendance records. Indicate how attendance will be maintained, either through a sign-in log or a time sheet.
Previous experience and training. List your previous experience and training, including where and for how long you worked.
Pre-service training. Check the appropriate boxes to indicate if you have previous child care experience or if you completed 8 hours of pre-service training in required areas.
Employee and volunteer orientation. Confirm your understanding of the orientation topics by signing and dating the relevant sections.

After completing the form, review it for accuracy. Ensure that all required fields are filled out and that your signatures are included. Submit the form to the appropriate licensing representative at DFPS to finalize your application.