Consultation Request

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

Once we receive the completed request form below, we will contact you to assist in your search for the child care or schooling options that will best meet your family's needs.

If you have questions or if you encounter any problems completing this form, please let us know by email ( or by telephone (212-851-9180).

Second Parent/Guardian

Child Information

Child has siblings (please check this box and fill out additional fields at end of this form):

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