Austin Community College Children's Lab School Evening Care Waiting List Application

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Please complete the following information. This application places a child on the Evening Care waiting list only, and is not a guarantee of admission.

***PARENTS MUST EMAIL EVENINGCARE@AUSTINCC.EDU AS SOON AS THEY ARE REGISTERED FOR THE SEMESTER THEY NEED CARE, IN ORDER TO BE CONSIDERED FOR ENROLLMENT.***
Spots cannot be held for families that do not have an official ACC schedule. Once application is submitted, & you are registered for classes, email Eveningcare@austincc.edu to notify.

Please go here to read the Evening Care Enrollment and Waiting List Guidelines: https://docs.google.com/document/d/1lHjpy6U2DLXomQ1E8VnJV0AFIlibMU8LPmUxziHJuTk/edit?usp=sharing

Please go here to see if you are eligible for our CCAMPIS grant program:
https://docs.google.com/document/d/1Wd-0QijMU3BYtlyHsezScKbUdJI-K6QLsQRerBDH53c/edit?usp=sharing

Email *

Parent 1 Name (First and Last) *

ACC Student ID# *

Desired Semester

Spring

Summer

Fall

Clear selection

Desired Year

Are you eligible and interested in participating in the CCAMPIS grant program? go here for more information: https://docs.google.com/document/d/1Wd-0QijMU3BYtlyHsezScKbUdJI-K6QLsQRerBDH53c/edit?usp=sharing

Yes

Clear selection

Child's Name (First and Last) *

Child's Date of Birth *

YYYY

Gender *

Male

Female

Race/Ethnicity *

Home Address (please be sure to include Apt/Unit # and zip code) *

Parent 1 phone *

Parent 1 Email *

Parent 2 Name (First and Last)

Parent 2 Email

Parent 2 phone

Does this child have siblings on our waiting list or currently enrolled?

Yes

Clear selection

If yes, please list siblings name and date of birth

Number of people in the family unit *

Estimated annual family income *

Please share important information that would help us better accommodate your child or family (including special needs or circumstances).

I have read and understand the ACC Children's Lab School Evening Care Enrollment and Waiting List Guidelines found here: https://docs.google.com/document/d/1lHjpy6U2DLXomQ1E8VnJV0AFIlibMU8LPmUxziHJuTk/edit?usp=sharing *

Yes

Send me a copy of my responses.

Submit

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