Application Instructions
Submit one Preliminary Application for each child care slot you are requesting.
Please read the instructions below thoroughly before completing the application.
Child’s Name:
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.
Birth Date:
Provide the month, date, and year of your child’s birth.
Parent’s Name(s):
Provide only the name of the parent/guardian or the names of the parents/guardians having legal custody of the child.
Mailing Address:
Provide a complete mailing address.
Telephone Numbers:
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.
91±¬ÁÏ Status:
Check the appropriate description for each parent’s 91±¬ÁÏ status.
Applicants for a childcare slot must be 91±¬ÁÏ (Orono) employees or students at the time childcare services are provided. Priority is granted to full-time 91±¬ÁÏ (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.
