Pre-registration to request a place at an EAJE1 (Early Childhood Care Institution) - 2021 Public facilities WHO CAN APPLY FOR A PLACE AT AN EAJE? Families looking for collective childcare provision for children aged between 10 weeks and 4 years. WHAT ARE THE CONDITIONS FOR APPLYING? You must have your primary residence in the Pays de Gex. For unborn children, you must include a proof of declaration of pregnancy with your pre-registration dossier. HOW TO APPLY ? Dossiers may be submitted throughout the year upon appointment with the Relais petite enfance situated in the child’s residential area: Tel : 04 50 410 411 Email : [email protected] The annual committee meeting (which takes place in May) awards the places for children starting at the childcare facility between September and December. All FULLY COMPLETE dossiers submitted between 1st January and 30th April are considered at the annual committee meeting. Other than by means of allocation by the committee, children may only start at the childcare facility if places become vacant. Unsuccessful dossiers will be held on a waiting list and examined each time a place becomes available. In every case: - Only fully complete dossiers will be considered. - Dossiers that have not been fully completed by the given deadlines will be automatically rejected. - A new application will have to be made for the following year. You will find all the information you need on the EAJE on the Pays de Gex agglo website: https://www.paysdegexagglo.fr/vos-demarches/relais-petite-enfance/ 1 All acronyms for the public services, institutions or organisations in this document are the French acronyms 1 PART TO BE COMPLETED BY THE FAMILIES STARTING PERIOD REQUESTED: .................................................................................................................................... If you are due to move house within the next few months, please indicate the name of the commune where the family will live: ........................................................................................................................................................................................ EAJE DEPENDING ON YOUR RESIDENTIAL AREA: You live in: Collonges, Farges, Léaz, Pougny, Saint-Jean de Gonville, Challex, Péron, Chézery-Forens Your child will be awarded a place at: EAJE « La Ribambelle » in Collonges 24 places You live in: Saint Genis-Pouilly, Chevry, Sergy, Crozet, Thoiry Please indicate your first choice: EAJE « Les Câlinous » in Thoiry 48 places EAJE « Colin Maillard » in Saint-Genis-Pouilly 46 places EAJE « Les Pitchouns » in Saint-Genis-Pouilly 37 places You live in: Prévessin-Moëns, Ferney-Voltaire, Ornex Please indicate your first choice: EAJE « La Farandole » in Ferney-Voltaire 50 places EAJE « Les Petits Électrons » in Prévessin-Moëns 44 places EAJE « Le Jardin des Lucioles » in Prévessin-Moëns 40 places You live in: Divonne-les-Bains, Grilly, Vesancy, Versonnex, Sauverny Please indicate your first choice: EAJE « Les Petits Loups » in Divonne-les-Bains 46 places EAJE « Les Chatons de La Lilette » in Versonnex 30 places You live in: Gex, Cessy, Echenevex, Segny, Lélex, Mijoux Your child will be awarded a place at: EAJE « Les Diablotins » in Gex 95 places 2 INFORMATION ABOUT THE CHILD(REN) FOR WHOM A PLACE IS BEING REQUESTED AT AN EAJE Number of children for whom childcare provision is being sought: ............................................................................. Multiple birth: yes no CHILD’S FIRST TERM OF HANDICAP OR CHILD’S SURNAME DATE OF BIRTH NAME PREGNANCY CHRONIC ILLNESS yes no yes no yes no yes no Please indicate if the child’s handicap or chronic illness requires treatment and, if so, what type: ........................................................................................................................................................................................ NAME AND DETAILS OF CHILD’S DOCTOR: .................................................................................................................... Name of the child if more Arrival time at the Departure time from the Childcare days requested than one child childcare institution childcare institution Monday Tuesday Wednesday Thursday Friday Flexibility as to the childcare days requested: yes no ........................................................................................................................................................................................ Please indicate the days that most closely meet your needs. The period of childcare requested is not a criterion of priority. Follow-up and comments of the EAJE: ................................................................................................................................................................................ ................................................................................................................................................................................ 3 INFORMATION ABOUT THE CHILD’ S PARENTS CAF BENEFICIARY NUMBER: .......................................................................................................................................... PARENT 1: SURNAME: ...................................................................... FIRST NAME: ....................................................................... Date of birth: ................................................................... Nationality: ......................................................................... Address: .......................................................................................................................................................................... ........................................................................................................................................................................................ Home telephone: ............................................................. Mobile telephone: .............................................................. Email: ............................................................................................................................................................................. Social security number: ................................................................................................................................................. Recipient of minimum social benefits (RSA etc.): yes no Occupation: .................................................................................................................................................................... Employer: Name of the business/company: ................................................................................................................................... Address: ......................................................................................................................................................................... Office telephone: (landline and mobile) ......................................................................................................................... If the employer is based in Switzerland, specify the canton: ........................................................................................ Work time: full-time part-time - in this case, state the activity rate: ................................. PARENT 2: SURNAME: ...................................................................... FIRST NAME: ....................................................................... Date of birth: ................................................................... Nationality: ......................................................................... Address: .......................................................................................................................................................................... ........................................................................................................................................................................................ Home telephone: ............................................................. Mobile telephone: .............................................................. Email: ............................................................................................................................................................................. Social security number: ................................................................................................................................................. Recipient of minimum social benefits (RSA etc.): yes no Occupation: .................................................................................................................................................................... Employer: Name of the business/company: ................................................................................................................................... Address: ......................................................................................................................................................................... Office telephone: (landline and mobile) ......................................................................................................................... If the employer is based in Switzerland, specify the canton: .......................................................................................