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UCNS Application Form

To apply for enrollment for your child at UCNS, please submit an application, along with a non-refundable $25 application fee and a copy of the child's birth certificate/passport.

Applications for those children eligible for priority enrollment (returning students, alumni siblings and Cornell affiliated families) should be received by February 1. These families will be notified of their child's placement at UCNS by March 1. All other applications will be processed after the priority enrollment period. Families will be notified of their child's enrollment status by April 1. Applicants will be considered on a rolling admissions basis after April 1.

PLEASE NOTE: Children must be 3 years old by December 1st in order to enroll at UCNS.

Child's Name *

Child's Name

First Name

Last Name

Child's Nickname

Child's Birth Date *

Child's Birth Date

YYYY

Child's Gender *

Male

Female

Applying For: *

Please indicate your FIRST enrollment preference *

All sessions are MORNINGS 8:45 - 11:45 am

Please indicate your SECOND enrollment preference *

All sessions are MORNINGS 8:45 - 11:45 am

Status *

Please check all that apply

New student

Returning UCNS student

Sibling of former or current UCNS student

Cornell affiliated family

Home Address *

Please include street address, city, state and zip code.

Parent/Guardian 1 - Name *

Parent/Guardian 1 - Name

First Name

Last Name

Parent/Guardian 1 - Phone *

Parent/Guardian 1 - Phone

(###)

###

####

Parent/Guardian 1 - Email *

Parent/Guardian 1 - Occupation *

Parent/Guardian 2 - Name

First Name

Last Name

Parent/Guardian 2 - Phone

(###)

###

####

Parent/Guardian 2 - Email

Parent/Guardian 2 - Occupation

Child's Native Country & Language *

Does your child understand English? *

Yes

Does your child speak English *

Yes

Our tuition is charged on a sliding scale based on your family's total annual income from all sources before taxes. Please select your family's income level. *

CORNELL AFFILIATON

Please indicate parent/guardian affiliation with Cornell University, if any. Cornell affiliated families receive priority enrollment, however affiliation with Cornell is not required to enroll at UCNS.

Parent/Guardian 1 *

Please check all that apply.

Undergraduate student

Graduate student

Faculty

Staff

Post-Doc

Visiting Faculty

Alumni

Researcher

No affiliation

Parent/Guardian 2

Please check all that apply.

Undergraduate student

Graduate student

Faculty

Staff

Post-Doc

Visiting Faculty

Alumni

Researcher

No affiliation

How did you hear about UCNS? *

Please check all that apply.

Internet Search

UCNS Facebook page

Local parenting group

Ithaca Child ad

Cornell Human Resources referral

Word of mouth

Other

Do you have any special concerns or questions?

IMPORTANT NOTES

After clicking on the "Submit Application" button, you will be asked to submit a $25 non-refundable application fee. This fee is required for all new and returning families and covers administrative expenses.
New applicants must provide proof of child's birth date. Please send (scan and email or snail mail) a copy of your child's birth certificate or passport. Mail can be sent to: UCNS Inc. (Attn: Registrar), 59 Dart Drive, Ithaca. NY 14850.
Submitted applications will not be considered complete until the proof of birth date and application fee are received.

IMPORTANT: Before your child begins attending school, your child's US licensed physician must fill out and send us the medical form that we provide in the registration packet you will receive during the summer. A copy of your child's immunization records is also required for attendance.