Submitted by egaudet on Fri, 2018-12-14 13:58 I hereby apply for the admission of my child to the Smith College Center for Early Childhood Education (CECE). Payment $30.00 Payment by Credit Card A $30 non-refundable application fee is required when the application is filed and is payable by MasterCard or Visa credit cards only. If you prefer to pay by check, please contact the CECE, cece@smith.edu, to receive a printable copy of the application form. Scheduling Options 2023–24 Infant program: Infants may enroll at two months; infant tuition applies to children younger than 15 months as of Sept 1, 2023 Toddler program: 15–32 months of age as of Sept 1, 2023 Preschool: 2.9 years–5 years of age as of Sept 1, 2023 Select a program year. - None -Summer 2024 and 2024–2025 Academic Year2023–2024 Academic Year2024–2025 Academic Year Select a program according to your child’s age. - None -Infant ProgramToddler ProgramPreschool Daily Schedule - None -8:00 am - 2:45 pm8:00 am - 4:45 pm Daily Schedule - Preschool - None -8:00 am - 12:45 pm8:00 am - 2:45 pm8:00 am - 4:45 pm Number of days per week - None -3 Days4 Days5 Days Three- or four-day schedules will be accommodated on a space-available basis. We are not able to accommodate Tuesday/Wednesday/Thursday schedules. Please list the days you prefer. Applicant Information Applicant first (given) name Applicant last (family) name Birth date / Due date Year Year20182019202020212022202320242025202620272028 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Name(s) and Age(s) of sibling(s) Race / Ethnic category (optional) - Select -American Indian or Alaskan NativeAsian or Pacific IslanderHispanicBlack, not of Hispanic OriginWhite, not of Hispanic OriginOther... Race / Ethnic category (optional) Other... Home Address Street City/Town State and Zip code Parent/Guardian Information Parent full name Cell phone number Please use the format 555-555-5555 Email address Is home address same as applicant home address? - Select -YesNo Street City/Town State and Zip code Occupation Employer Business Address Street City/Town State and Zip code Is there a second parent or guardian? - None -YesNo Parent full name Cell phone number Please use the format 555-555-5555 Email address Is home address same as applicant home address? - Select -YesNo Street City/Town State and Zip code Occupation Employer Business Address Street City/Town State and Zip code Additional Information How did you learn about the Smith College Center for Early Childhood Education? What are your reasons for applying to the Center for Early Childhood Education? Does your child have any special strengths or needs that we should know about? Please describe briefly. Notice of Nondiscrimination Smith College is committed to maintaining a diverse community in an atmosphere of mutual respect and appreciation of differences. Smith College does not discriminate in its educational and employment policies on the basis of religion, race, color, creed, national/ethnic origin, sex, sexual orientation, age, or with regard to the bases outlined in the Veterans Readjustment Act and Americans with Disabilities Act. The Smith College Center for Early Childhood Education does not discriminate in providing services to children and their families on the basis of race, religion, cultural heritage, political beliefs, national origin, marital status, sexual orientation or disability. The following office has been designated to handle inquiries regarding the nondiscrimination policies: Office of Institutional Diversity, College Hall #31, (413) 585-2141.