School and Child Care Search Service Inquiry Form

Thank you for your interest in the School and Child Care Search Service in Columbia University's Office of Work/Life.

Once we receive this inquiry, we will contact you to assist you in your search for the child care or schooling options that will best suit your family's needs.

If you have questions or if you encounter any problem in completing this inquiry, please let us know by email (worklife@columbia.edu) or by telephone (212-851-9180).

Columbia University Parent/Guardian

Name:*

UNI (Columbia University ID, if available):

Office Phone Number:*

Mobile Phone Number:

Home Phone Number:*

Alternate Email Address, if applicable:

Relationship to Child:*

Second Parent/Guardian

Name:

Email Address:

Best Phone Contact Number:

Relationship to Child:

Child Information

Name:*

Date of Birth or Due Date (e.g.: 1/21/1999):*

Gender:

Address:*

Current Child Care Arrangement, if applicable:

Current School, if applicable:

Current Grade:

Type:*

Subtype:

Subtype 2:

Additional Information (e.g., required hours, location, type of program)

Description:

School and Child Care Search Service Inquiry Form

Columbia University Parent/Guardian

Second Parent/Guardian

Child Information

Additional Information (e.g., required hours, location, type of program)

Copyright