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Early Childhood Center
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Application Form

If you would like to apply for enrollment of your child, please follow these instructions:

1. Print out the "Application for Enrollment" PDF form*.

2. Complete the entire form and return it to us in person or via postal mail to:

Southern Illinois University Edwardsville
Early Childhood Center
Campus Box 1076
Edwardsville, IL 62026-1076

3. Wait to hear from us. We refer to our waiting list when openings become available.  Please be sure to notify us if your contact information changes.  

*You will need Adobe Acrobat Reader to view this form.

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