Hannig Family Children’s Center
2015-2016 Registration Form
Complete upon application and at each new enrollment period.
Child’s Name:
Parent/Legal Guardian (Print):
Parent/Legal Guardian (Signature):
Check One:
Date:
Student
Full Time Faculty / Staff
Part Time Faculty / Staff
Community
Children’s Center Location – Circle One:
Bethlehem
Requested Start Date:
/
Monroe
NCC STUDENT & FACULTY / STAFF
Student Note:
 Must be taking a minimum of 3 credits.
 NCC Course Schedule must be attached to receive student rates and hours.
FALL AND SPRING SEMESTERS ONLY
SEMESTER FAMILIES ONLY – A new registration form needs to be completed each semester.
**Weekly Schedule Options – Choose One**
5 full days
M thru F – up to 50 hrs./wk.
Choose One:
Full Year – 48 wks. (July 1 – June 30)
Schedule remains the same for the full fiscal year.
Fall Semester – 16 wks. (Aug – Dec)
Spring Semester – 16 wks. (Jan – May)
3 full days
2 full days
5 half days
3 half days
2 half days
M/ W / F – up to 30 hrs./wk.
T and R – up to 20 hrs./wk.
M thru F
AM1
PM2
M/W/F
AM
PM
T and R
AM
PM
5 full days
3 full days
2 full days
M thru F – up to 50 hrs./wk.
M / W / F – up to 30 hrs./wk.
T / R – up to 20 hrs./wk.
COMMUNITY FAMILIES
Full Year – 48 wks. (July 1 – June 30)
Schedule remains the same for the full fiscal year.
SUMMER SEMESTERS ONLY – Monroe Campus runs on a 4 day schedule through the summer.
SEMESTER FAMILIES ONLY – A new registration form needs to be completed each semester.
**Weekly Schedule Options – Choose One**
Choose One:
Summer I Semester – 6 wks. (May – June)
Summer II Semester – 6 wks. (July – August)
Full Year - 48 wks. (May – August – Summer Only)
Circle Desired Days of Care (M T W R)
4 full days
3 full days
2 full days
4 half days
3 half days
2 half days
M
M
M
M
M
M
T
T
T
T
T
T
W
W
W
W
W
W
R – up to 40 hrs./wk.
R – up to 30 hrs./wk.
R – up to 20 hrs./wk.
R
AM
PM
R
AM
PM
R
AM
PM
COMMUNITY FAMILIES
**Weekly Schedule Options – Choose One**
Full Year - 48 wks. (May – August – Summer Only)
Circle Desired Days of Care (M T W R)
4 full days
3 full days
2 full days
M T W R – up to 40 hrs./wk.
M T W R – up to 30 hrs./wk.
M T W R – up to 20 hrs./wk.
1
AM care hours are between 7:30 am and 12:30 pm / 2PM care hours are between 1:00 pm and 6:00 pm.
NCC Children’s Center values diversity and seeks families and staff from diverse backgrounds. The Center does not discriminate on the basis of race,
color, sex, sexual orientation, religion, national or ethnic origin, age, disability, or status in its activities or employment practices.