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Application

Indicates required field
Services are provided for children 2 months old thru preschool age. Proof of Affiliation must be presented by student, staff, or faculty families when application is accepted.  Priority for enrollment will be given to UCR student families.  An application fee of $40.00 is required and non-refundable by check or money order payable to Regents UC. An application fee is not required for UCR Students or families applying for subsidized programs.  The Center for Early Childhood Education cannot accept cash or credit card payments for service. After receiving the application fee, if your child cannot be admitted to the Center, his/her name will be placed on the Waiting List and you will be assigned an application number. You will be notified when there is an opening available. All applications must be updated once each year (by June) in order for your application to remain on the wait list.  A copy of this application will be given to you for your files. 

Child Information

Child Name

Parent Information

Mother/Father/Guardian Contact Info
Mother/Father/Guardian Affiliation(s)
Mother/Father/Guardian Contact Info
Mother/Father/Guardian Address
Mother/Father/Guardian Affiliation(s)

Program Information

Choose Program
Will accommodate based on availability.

Subsidized Childcare Information

Other children living at home

Family means number of children, plus adults permanently in the household who accept responsibility for the children.

Income: Total gross before taxes withheld. Proof of income will be required. (UCR student families will be asked for award status from growl and graduate student researchers and teaching assistants will be asked for contracts.)

Mother/Father/Guardian Status
Mother/Father/Guardian Status

I understand that at the time my child is selected from the wait list and I accept the space, I will be asked to pick up a registration packet and schedule an intake meeting.  Once I have picked up the registration packet and schedule an intake interview this is considered my acceptance of the space. At that time I will be assessed a non-refundable yearly registration fee of $65.00.

I have read the instructions for completing this form and to the best of my knowledge, have answered the questions truthfully with regard to income and student status.  I understand that I must provide adequate verification to support any of the claims made on this application.  I also understand that it is my responsibility to notify the UCR Center for Early Childhood Education of any changes in the above information. 

The University of California, Riverside Center for Early Childhood Education, does not discriminate against any child because of race, religion, sex or ethnic background. We serve within the limits of our professional abilities’ children with special needs due to physical, linguistic, mental and/or emotional disabilities.