{"id":46,"date":"2022-12-07T20:18:22","date_gmt":"2022-12-07T20:18:22","guid":{"rendered":"https:\/\/in.nau.edu\/early-learning-development-center\/?page_id=46"},"modified":"2024-11-06T18:56:29","modified_gmt":"2024-11-06T18:56:29","slug":"application-form","status":"publish","type":"page","link":"https:\/\/in.nau.edu\/early-learning-development-center\/enrollment-application\/application-form\/","title":{"rendered":"Enrollment application form"},"content":{"rendered":"<h2>Apply today<\/h2>\n<p>Please note that we only offer full-time programming (5 days a week). Children enrolled in our Preschool and PreK classrooms need to be toilet-trained, unless they have a medical need or an IEP.<\/p>\n<p><strong>*We are now accepting enrollment applications for two-year-olds.\u00a0 You may complete our enrollment form 90 days prior to your child&#8217;s 2nd birthday.<\/strong><\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Enrollment application form<\/h3>\n                            <p class='gform_description'>Apply to enroll your child in an ELDC program. Those accepted for enrollment will receive an email and phone call. We will also provide a tour of the center and a link to enrollment information upon acceptance.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/early-learning-development-center\/wp-json\/wp\/v2\/pages\/46' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_23\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_23'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container'><input name='input_23' id='input_2_23' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_23'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_2_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_2_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_2_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_2'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_2_2' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_2_3' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Child&#039;s name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_2_5'>\n                            \n                            <span id='input_2_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_2_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/li><li id=\"field_2_8\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_8'><span class='gform-field-label__text'>Child&#039;s date of birth<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_2_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_2_8\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_8'>Please only fill out the form for children who are age three or 90 days before their third birthday.<\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'><span class='gform-field-label__text'>Request start date at ELDC<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_2_7'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_2_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_2_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_2_7' aria-label='Request start date at ELDC: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Please tell us about yourself (check all that apply):<\/span><\/label><div class='gfield_description' id='gfield_description_2_15'>I am an NAU student:<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_15'>\n\t\t\t<li class='gchoice gchoice_2_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Yes' checked='checked' id='choice_2_15_0'    \/>\n\t\t\t\t<label for='choice_2_15_0' id='label_2_15_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='No'  id='choice_2_15_1'    \/>\n\t\t\t\t<label for='choice_2_15_1' id='label_2_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_18\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_18'><li class='gchoice gchoice_2_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Full-time student'  id='choice_2_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_18_1' id='label_2_18_1' class='gform-field-label gform-field-label--type-inline'>Full-time student<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Part-time student'  id='choice_2_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_18_2' id='label_2_18_2' class='gform-field-label gform-field-label--type-inline'>Part-time student<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_2_19'><span class='gform-field-label__text'>NAU ID<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_2_19' type='text' value='' class='medium'  aria-describedby=\"gfield_description_2_19\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_19'>NAU ID<\/div><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text' ><span class='gform-field-label__text'>I am an employee at NAU:<\/span><\/label><div class='gfield_description' id='gfield_description_2_20'>I am an employee at NAU:<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_20'>\n\t\t\t<li class='gchoice gchoice_2_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Yes' checked='checked' id='choice_2_20_0'    \/>\n\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='No'  id='choice_2_20_1'    \/>\n\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_2_21'><span class='gform-field-label__text'>NAU ID<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_2_21' type='text' value='' class='medium'  aria-describedby=\"gfield_description_2_21\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_21'>NAU ID<\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_2_22'><span class='gform-field-label__text'>Is there anything you would like us to know about your child (e.g., special health needs, IEP, learning or behavior considerations, etc.)? Answering this question does not influence enrollment decisions.<\/span><\/label><div class='gfield_description' id='gfield_description_2_22'>Is there anything you would like us to know about your child (e.g., special health needs, IEP, learning or behavior considerations, etc.)? Answering this question does not influence enrollment decisions.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_2_22' class='textarea medium'  aria-describedby=\"gfield_description_2_22\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='ySu1h4rhKXzCpfbXAtyLtimiQpLQGVMMzXwlNf0VBJE327SHt\/jfh6ROG2OsKm+SghJqy6UPcohSaBi2Bg3BO+hx0aO6+7OEkRGU7ULDvF3RY68=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n<!-- shortcode-right-column -->\n<div class=\"shortcode-right-column\" >\n    <div class=\"shortcode-right-column__container\">\n<!-- shortcode-contact -->\n<div class=\"shortcode-contact\">\n    <div class=\"contact-header\">\n        <h3>Contact the Early Learning and Development Center<\/h3>\n    <\/div>\n    <div class=\"contact-body\">\n                <a href=\"mailto:eldc@nau.edu\" aria-label=\"Contact the Early Learning and Development Center: Email Address\" title=\"Email Address\">\n            <div class=\"contact-icon-container\">\n                <i class=\"fas fa-envelope\" aria-hidden=\"true\"><\/i>\n                <span class=\"sr-only\">Email:<\/span>\n            <\/div>\n            <div class=\"contact-email\">eldc&#8203;@nau.edu<\/div>\n        <\/a>\n                        <a href=\"tel:928-523-2659\" aria-label=\"Contact the Early Learning and Development Center: Telephone Number\" title=\"Telephone Number\">\n            <div class=\"contact-icon-container\">\n                <i class=\"fas fa-phone\" aria-hidden=\"true\"><\/i>\n                <span class=\"sr-only\">Call:<\/span>\n            <\/div>\n            <div class=\"contact-phone\">928-523-2659<\/div>\n        <\/a>\n            <\/div>\n<\/div>\n\n\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Apply today Please note that we only offer full-time programming (5 days a week). Children enrolled in our Preschool and PreK classrooms need to be toilet-trained, unless they have a medical need or an IEP. *We are now accepting enrollment applications for two-year-olds.\u00a0 You may complete our enrollment form 90 days prior to your child&#8217;s [&hellip;]<\/p>\n","protected":false},"author":768,"featured_media":538,"parent":27,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"ring_central_script_selection":"","footnotes":""},"class_list":["post-46","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/pages\/46","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/users\/768"}],"replies":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/comments?post=46"}],"version-history":[{"count":13,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/pages\/46\/revisions"}],"predecessor-version":[{"id":1208,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/pages\/46\/revisions\/1208"}],"up":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/pages\/27"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/media\/538"}],"wp:attachment":[{"href":"https:\/\/in.nau.edu\/early-learning-development-center\/wp-json\/wp\/v2\/media?parent=46"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}