The University of New Mexico
Children's Campus

Waiting List Application

Today's Date
Requested Admission Date
Child's Information:            
Last First Ethnicity
Sex
DOB (or due date)
Siblings Currently Enrolled at UNMCC Full Name 1 DOB 1
Full Name 2 DOB 2
Siblings Currently on Waiting List Full Name 1 DOB 1
Full Name 2 DOB 2
Contracting Parent Information :        
Last
First
Ethnicity
Banner ID
Street
City
State
Zip
Home Phone Work Phone Cell Phone
Employer    
Expected
Graduation Date
Degree Program E-mail Address
UNM Affiliation
 School Financed By
Number of Years Attended UNM (Current Students)
   
Partner Information:        
Name Ethnicity        
Home Phone Work Phone Cell Phone
Partner Employer
Expected
Graduation Date
Degree Program E-mail Address
UNM Affiliation
School Financed By
Number of Years Attended UNM (Current Students)
   
Are you interested in the drop-in and evening care program?
 
 
By selecting "Accept and Submit" you acknowledge that you have read and accept the terms and conditions associated with placing your child on the UNM Children's Campus waiting list.
 
       
 

        
  Return to UNMCC Waiting List Policies & Procedures
Return to UNMCC Home Page