Child Care Application

Application for Childcare

Please answer all of the following information to apply for childcare services at Marguerite's Place. Childcare room rates: Infants-$275 Toddlers-$255 Preschool- $215 Hours : 7am-5:30pm
Applicant Information
Date of Application:*
Date care is needed*
Name:*

First NameLast Name
Email:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Referred by:*
Family Information

List the child(ren) in need of child care

Children Information*

Have your children ever been enrolled in childcare?*
Are your children currently enrolled in childcare?*
Do you have any particular concerns about your children's development? If yes, please elaborate:*
Additional Information
Are you eligible for NH Childcare Scholarship?*
You may be eligible for the NH Child Care Scholarship by:

Receiving Financial Assistance for Needy Families (FANF)
Being in the FANF work program
Working or looking for work and meet the income guidelines
Going to school and meet the income guidelines

Click here to learn more
Is there anything else you would like us to know as part of this application?
Thank you for applying for childcare with Marguerite's Place.

Staff of Marguerite's Place will contact you to confirm receipt of this application. We keep a waitlist for our classrooms and will process applications in order of receipt when a space becomes available. If you have any questions about the status of your application, please contact Director of Community Programs Candace Gordon at cgordon@margueritesplace.org or 603-598-1582 x 14.
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Application for Childcare