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Quick Guide to the University of Michigan Children's Centers
Centers at a glance
Centers offering infant care
Centers offering care for toddlers through age five
Centers offering part-time enrollment
Centers by campus location
 

Early Childhood Programs Wait List Application

Use this application to inquire about availability in the Centers listed below. Following your submittal of this form, you will be automatically entered into the Early Childhood Programs’ applicant wait list.

Please note that submittal of this application does not assure your child’s enrollment.

I understand that my submittal of this application does not assure enrollment and that I will be contacted by a Center representative to finalize my child’s registration when space becomes available in the program(s) checked below.

Online Wait List Application

Application Date
(please format as month/day/year)

Child's First Name

Child's Last Name

Child's Birthdate
(please format as month/day/year)  

Child's Gender    (optional)       

Male Female
Desired Start Date

If parents/guardians are separated, please list custodial parent first

Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Child(ren)

Street Address

City

State

Zip

Home Phone

Work Phone

E-mail Address

Please Indicate Your U-M Affiliation
(if any)

U of M staff
U of M faculty
U of M student
not affiliated with UM

Other U of M affiliation:

Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Child(ren)

Street Address

City

State

Zip

Home Phone

Work Phone

E-mail Address

Please Indicate Your U-M Affiliation
(if any)

U of M staff
U of M faculty
U of M student
not affiliated with UM

Other U of M affiliation:

Center Preference
Please Indicate Your Center(s) of Interest
(check all that apply):

Northwood Community Child Development Center

Please specify your choice of: 
Part-day program
Full-day program

Towsley Children’s House
(formerly Children’s Center for Working Families & Pound House)

Please specify your choice of: 
Part-day program
Full-day program
University of Michigan Children's Center

University of Michigan Health System Child Care Center

Please note: Priority enrollment in the University of Michigan Health System Child Care Center is given to University of Michigan Health System, Medical School and School of Nursing staff, faculty and students.*

Please indicate your UMHS or Medical/Nursing School affiliation below:
UMHS or Medical/Nursing School staff member
UMHS/Medical/Nursing School faculty member
Medical/Nursing School student

*Non-UMHS/Medical/Nursing School staff members and students will be considered after the UMHS-affiliated application requests have been fulfilled.

Please contact the Center directly at (734) 998-6195 to inquire about openings for non-UMHS-affiliated UM staff, faculty or students.

 

Have you previously had a child enrolled in any UM Center?  

Yes  No

If so, which one?

Northwood Community CDC
UM Children’s Center
UM Children’s Center for Working Families/ Pound House
UMHS Child Care Center

Child's Race or Ethnicity (optional)

African-American
Asian
Caucasian
Hispanic
Native-American
Other

Please note any additional comments or information about your child:
   

If applying by mail, send to:

University of Michigan Early Childhood Programs
2072 Administrative Services
1009 Greene Street
Ann Arbor, MI 48109-1432
University of Michigan
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