Children's Learning Center Application, USI

Children's Learning Center Waitlist Application

It is advisable to place your child on the waitlist at least a year before care is required. Child care for ages 2-5 is offered at our Center.

Child & Family Information

Parent Name(s)/Guardian Name(s):

Child Name:

Child Birthday:

Child Gender:

Child Primary Address:

City

State

Zip Code

Mother or Guardian Work:

Work Number:

Mother Cell Number:

Mother Email Address:

Father or Guardian Work:

Father Work Number:

Father Cell Number:

Father Email Address:

Are you an employee of USI or a USI student?

Days and Hours Childcare Needed:

Program Interested In:

Submitting this online application places your child on the USI Children's Learning Center waitlist. You will be contacted as soon as a spot becomes available for your child. Interested families on the waitlist are contacted annually to update information and interest.

8600 University Boulevard - Evansville, IN 47712-3596 - 812/464-8600