Childcare Services
   
   
  

Application form

Completing the form

It is important that you complete this form fully in order for us to process your application as quickly as possible.

Please make sure that you have read the Childcare Services Prospectus before completing this form. If any information provided on this form is subsequently found to be misleading we have the right to terminate your childcare place with immediate effect. The form must be completed by the person who is (or will be) the staff member or student.

If your child is not yet born, please complete sections 1, 3, 4 and 5 and in section 2, please state your child’s expected date of birth.

If you require any assistance, advice or clarification please contact Sue Mellors, Childcare Services Manager at the Day Nursery:

t: +44 (0)115 951 5222
e: childcareservices@nottingham.ac.uk

Please note that due to its nature, the form is long so please ensure you've read it through before completing.

Application form

  • Section 1: Applicants' details
  • 1a Your personal details
  • Name
  • Home address
  • Term time address (if different to home address)
  • 1b Staff members only: Employment details
  • Type of contract
  • 1c Students only: Study details
  • Are you registered as a student with The University of Nottingham?
  • 1d Staff and students: General
  • Section 2: Your child's details
  • 2a Personal details
    If you have more than one child, you will need to complete a separate form for each child's application
  • Name
  • Sex
  • Home address and post code (if different to 1a)
  • Term-time address and post code (if different to 1a)
  • 2b Health record
  • Section 3: Attendance details
  • 3a Sessions required
    Please tick sessions required:
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • 3b Start/end dates
  • 3c Flexibility
  • Can you be flexible with the initial sessions offered to you, on the understanding that children already in our services receive priority for the allocation of subsequent sessions that become available?
  • Section 4: Busy Bees Day Nursery
    The University of Nottingham owned and operated Childcare Services include The University of Nottingham Day Nursery, Playcentre, Playscheme and Toy Library. The success of our day care services has led to a high level of demand and long waiting lists. In response to this demand, Busy Bees (formerly TLC, now owned by Knowledge Universe) was selected by the University to provide services that complement the University's childcare services.
  • Please tick the following box if you do not want your details to be shared with Busy Bees. If you do not tick this box we will forward, by email, your name and contact details, and your child's name and date of birth (or expected date of birth), the sessions required and your preferred start date. They will then contact you directly
  • Section 5: Declaration
    Data protection: All information held by Childcare Services will be maintained in accordance with the Data Protection Act 1998. The section below is to be completed by the applicant.
  • The information given on this form is accurate to the best of my knowledge

Childcare Services

The University of Nottingham
University Park
Nottingham
NG7 2RD

telephone: +44 (0) 115 951 5222
fax: +44 (0) 115 846 6106
email: childcareservices@nottingham.ac.uk
The use of images from this site is strictly prohibited. Images are not to be used or reproduced under any circumstances.