Wait List Application
Please read these instructions thoroughly before completing the application.
Please read these instructions thoroughly before completing the application.
Please print or type all information clearly.
Submit one Preliminary Application for each child care slot you are requesting.
A Preliminary Application may be submitted for an unconceived child or for an unborn child. To apply for an unconceived child, print unconceived after “Child’s Name:” and unknown after “Birth Date”. To apply for an unborn child, print conceived after “Child’s Name:” and the expected date of birth after “Birth Date”.
Provide your child’s legal name. Do not include nicknames.
Provide the month, date, and year of your child’s birth.
Provide only the name of the parent/guardian or the names of the parents/guardians having legal custody of the child.
Mailing Address:
Office hours for the Children’s Center are from 7:30 am – 3:30 pm. Telephone numbers should be numbers which can be called during these business hours.
Provide home and work/school telephone numbers for each parent/guardian. Include area codes if you reside outside of Maine.
Telephone numbers of relatives or friends should be provided after “Other Telephone Numbers:” if either parent/guardian is typically hard to contact by phone.
Check the appropriate description for each parent’s University of Maine status.
Applicants for a childcare slot must be University of Maine (Orono) employees or students at the time childcare services are provided. Priority is granted to full-time University of Maine (Orono) employees and students.
If there is no University affiliation at the time of application, but affiliation is anticipated, check “future UM student” status and include the anticipated start date/s.