CENTERS & FACILITIES

REQUEST FOR ENROLLMENT
Early Childhood Education Centers
ELIGIBILITY - CHILDREN MUST BE 3 YEARS OF AGE AND POTTY TRAINED


* Indicates manditory fields, if they don't apply enter N/A

Center Type*:

Learning Center - All Day - Monday Through Friday
Flex-Time Center - Part-Time Child Care


Full Name of Child*:
 
Age of Child*: Birth Date*: (mm/dd/yy)
 
Parent/Guardian's Name*:
 
Email Address*:
 
Home Phone*:
 
Work Phone*:
 
Address*:
 
City*: State*: Zip*:

Employer*:
(if none enter NONE)
 
Work Hours*:
(if none enter NONE)
 
Occupation*:
(if none enter NONE)

I am a:

If other please indicate:
if current student are you a Pell Grant Student: Yes No

 
Tartan ID Number*: (if none enter NONE)
 
Quarter Requested*: Fall Winter Spring
 
Academic Year*:

Hours Requested:
Days
Time In
Time Out
Lunch
Monday
Tuesday
Wednesday
Thursday
Friday
 



Did You Know?
Out of 1,200 community colleges in the nation, Sinclair is one of 20 board member colleges of the League for Innovation in the Community College.
Sinclair offers the lowest tuition rate in Ohio.
Sinclair has established more than 100 transfer agreements to assist students in transferring to other colleges.
Sinclair faculty is consistently awarded for their teaching excellence.

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