Little Eagles Learning Center Waitlist Application

Please fill out all the required fields and upon completion, visit fgcu.edu/littleeagles to pay the $15 waitlist fee for consideration. Please note: If you are applying for more than one child, you must submit separate applications for each child and submit the waitlist fee per child.

Current Date/Time

Requested Starting Date

Please list the date you would like to begin care at Little Eagles Learning Center.

Parent/Guardian Name*

First Name

Last Name

Home Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Home/Cell Phone*

Work Phone*

Email*

Parent Status/Affiliation*

Please check one below.

Student Status: To qualify for student status, you must enroll in a minimum of 6 undergraduate credit hours or 3 graduate credit hours each semester.

Child's Name

First Name

Last Name

Child's Age*

Please indicate years and months. Example: 2 years, 2 months

Child's Date of Birth*

00/00/0000

In the space below, please tell us anything you'd like us to know about your child!