Austin Community College Children's Lab School Day Program Waiting List Application

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Please complete the following information. Your child will be placed on the waiting list on the date this form is received in our office. You should receive confirmation of your child being placed on the waiting list within 2 weeks. If you do not, please contact childlab@austincc.edu with your child's information. Being on the waiting list DOES NOT guarantee admission to the program.

Please go here to read the Enrollment and Waiting List Policy: https://docs.google.com/document/d/1UfWfabuplOIOc4suepM0ID3xout2Utpbzp1wVnYw-as/edit?usp=sharing

If you are an ACC Student, please go here to see if you are eligible for our CCAMPIS grant program:
https://docs.google.com/document/d/1DhzseX7X0EfSnXWk_yyUHohuxB8PmzmLIQ9J2EsngKs/edit?usp=sharing

Email *

Child's Name (First and Last) *

Child's DOB/Due Date *

YYYY

Gender *

Male

Female

Race/Ethnicity *

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

Desired Entrance (we only enroll once a year in August; your child must be 6 months old as of 9/1 to be eligible for enrollment for that school year)

August 2021

August 2022

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Parent 1 Name (First and Last) *

Parent 1 Email *

Parent 1 phone *

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

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If yes, please list siblings name and date of birth

Number of people in the family unit and estimated annual family income (example 3/20,000) *

Is either parent an ACC student? If yes, please provide student ID#

If you are a student, are you eligible and interested in participating in the CCAMPIS grant program? go here for more information: https://docs.google.com/document/d/1DhzseX7X0EfSnXWk_yyUHohuxB8PmzmLIQ9J2EsngKs/edit?usp=sharing

Yes

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Is either parent employed by ACC?

ACC Full Time Faculty

ACC Full Time Staff

ACC Adjunct Faculty

ACC Hourly Staff

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Please provide EID if you are employed by ACC.

Please share other important information you would like us to know about your child or family (special needs or circumstances).

I have read and understand the ACC Children's Lab School Enrollment and Waiting List Policy found here: https://docs.google.com/document/d/1UfWfabuplOIOc4suepM0ID3xout2Utpbzp1wVnYw-as/edit?usp=sharing *

Yes

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