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Child Care Waitlist Application

Please Note: Once you submit your application, you will be directed to a confirmation page to pay the wailist application fee.  You will not be added to the waitlist until you have paid the application fee.

Questions? Call 801-585-5897 or email childcare@sa.utah.edu

NOTE: Presidents Circle Hourly Care for the Fall 2022 Semester is at capacity for waitlist applications.  We will NO LONGER be accepting applications for the Fall 2022 Semester for Presidents Circle Hourly Care.

Parent 1 Information














Employer Information for Parent 1







School Information for Parent 1





(YYYY)
Demographic Information for Parent 1


Parent 2 Information (skip if not applicable)














Employer Information for Parent 2 (skip if not applicable)







School Information for Parent 2 (skip if not applicable)





Demographic Information for Parent 2 (skip if not applicable)


Family Information





For reference to the 2022 income guidelines for EHS please see the table at the bottom of this web page.

(MM/DD/YYYY)

Center Preference
Select center(s) in order of preference (ex: First is your most preferred).






Child 1 Information



(MM/DD/YYYY)


Child 2 Information



(MM/DD/YYYY)


Child 3 Information



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Child 4 Information



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Additional Comments


 

2022 Poverty Guidlines for the 48 Contiguous States and the District of Columbia

Persons in family/household

Poverty Guideline
1 $13,590
2 $18,310
3 $23,030
4 $27,750
5 $32,470
6 $37,190
7 $41,910
8 $46,630
For families/households within more than 8 persons, add $4,720 for each additional person.
Last Updated: 7/26/22