Application for a Nursery Place – Student/Community User
FAMILY DETAILS
Name of child:
…………………………………………………………
Date of birth:
Age child will be on
starting nursery
Or
(If not yet born please give intended surname)
Years:
Months:
E.D.D:
New baby
……………………………………………………………….
Name of Student/Community User applying for
place:
Title
First name
Surname
Name of other parent/partner if applicable:
Title
First name
Surname
Address:
Tel No - home
Tel No - work
Post code:
Mobile -
Email address for correspondence:
EMPLOYMENT/STUDY DETAILS
Position/Course Title:
.............................................................................................................................................
Place of Work/Study
.............................................................................................................................................
Is your position/study:
Full Time

Part Time
Hours worked/at study: ……………………………………………………..…………………

NURSERY PLACE REQUIREMENTS
1ST CHOICE
Preferred date to start nursery:
1ST CHOICE
Preferred sessions required per week:
AM
PM
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
(please tick)
2nd CHOICE
Preferred date to start nursery:
2nd CHOICE
Preferred sessions required per week:
(please tick)
Monday
Tuesday
Wednesday
Thursday
Friday
APPLICATION PROCESS AND NOTIFICATION DEADLINES
Application Received
Place Allocated
Accepting the Place
If we
receive your
completed
application during the month of;
If we are able to allocate a place for
If you wish to accept the offer
your child we will send you a letter
of a place you must return your
by the end of;
acceptance and deposit no
later than;
January
February
15th March
February
March
15th April
March
April
15th May
April
May
15th June
May
June
15th July
June
July
15th August
July
August
15 September
August
September
15th October
September
October
15th November
October
November
15th December
November
December
15th January
December
January
15th February
HOLDING LIST INFORMATION
If we are unable to allocate you a place, do you wish to remain on our holding list for a period of four
months as explained in our Admissions Policy?
Please circle
YES
NO
HOW DID YOU HEAR ABOUT US?
Ofsted Website
Nursery Website
ex-parent 
other 
Pre-Pregnancy Booklet 

Family Information Services
Other
Personal Recommendation: current parent 


Nursery Leaflet

 (Please Specify) ……………………………………………………………………..
DECLARATION
I have read and understood the Nursery Admissions Policy
Signature: .......................................................................................................................................................
Date:.......................................................................……………………………………..…………………………...
Thank you for completing your application to join Northumbria University Nursery.
Please email it to: nursery@northumbria.ac.uk and pay nursery your nursery registration fee (£25).
Bring cash or cheque (made payable to Northumbria University Nursery) to our nursery
reception
 Post a hard copy of the Application Form together with a cheque (made payable to
Northumbria University Nursery) to;
Judith Curry
Northumbria University Nursery
City Campus East
Newcastle upon Tyne
NE1 8ST
 To pay via a card - Ring the University income Office (Finance Dept. Sutherland Building)on
0191 2437489
When making a card payment to the Income Office please;
Quote account number 23912
Inform them you are a Nursery Parent

You will be sent an email acknowledgement when your application and registration fee
has been received.