Parent Database

In the continuing effort to help graduate students with children, we need some information about you. If both you and your spouse are graduate students, we ask that only one parent fill out the information. Only members of the GSA Childcare Committee will have access to all information provided. Any information shared with the administration will not include identifying data of a student. The information collected here will be used for the following purposes:

Tracking statistics for the administration and GSA Childcare Committee. This data will be separated from personal and identifying information.
- number of graduate students with children
- number of children in each family
- number of children in various age groups.
Starting a mailing list for the Graduate Student Children's Club. This will include name and email only.
Gauging interest for family day care homes - both providing service and needing service, for a seminar on the topic. This will include name and email only.
Soliciting members for the GSA Childcare Committee. This will include name and email only.

Don't forget to press the submit button at the bottom when you are done! If you have any problems with this form, contact the webmaster for this page.

Your name:
Your email address:
Total number of children:	1 2 3 4 5 6 7 8
I am interested in:	Participating in events sponsored by the Graduate Students Children's Club
	Assisting in planning events sponsored by the Graduate Students Children's Club
	Starting a family day care home
	Placing my child(ren) in a family day care home
	Becoming a member of the GSA Childcare Committee

Child 1
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 2
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 3
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 4
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 5
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 6
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 7
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 8
Age: N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care: none needed full year sept-june
Amount of care: none
full day, full week (between 7am - 6pm, MTWThF)
full day, part week (between 7am - 6pm, MWF or TTh)
part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 1
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 2
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 3
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 4
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 5
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 6
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 7
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):

Child 8
Age:	N/A 0-12 months 13-24 months up to 3 years up to 4 years up to 5 years over 5 years
Duration of care:	none needed full year sept-june
Amount of care:	none
	full day, full week (between 7am - 6pm, MTWThF)
	full day, part week (between 7am - 6pm, MWF or TTh)
	part day, full week (between 7am - 1pm or between 12pm - 6pm, MTWThF)
	part day, part week (between 7am - 1pm or between 12pm - 6pm, MWF or TTh)
	occasional/emergency care (flexible drop-off and pick-up, scheduled in advanced, pay-as-used):