• Fields marked with * are mandatory.
• If you have no answer, please enter --- .
• Mother:
• Family name*
• First name*
• Street*
• PO Box
• Zip*
• City*
• Home Phone*
• Business Phone*
• Mobile Phone*
• E-mail Address*
• Personnel number or matriculation number*
• Employer/University* UZH
  ETHZ
  KIHZ
  EMPA
  EAWAG
  WSL, PSI, ETH Board
  All others
• Place of Work*
• Position* Other
  Postdoc
  Scientific assistant
  Professor
  Alumnus/Alumna
  External
  Student
  Doctoral student
  Admin.,Techn. management
• Work Basis (%)*
• Father:
• Family name*
• First name*
•  Address of the father is identical with the address of mother
• Business Phone*
• Mobile Phone*
• E-mail Address*
• Personnel number or matriculation number*
• Employer/University* UZH
  ETHZ
  KIHZ
  EMPA
  EAWAG
  WSL, PSI, ETH Board
  All others
• Place of Work*
• Position* Other
  Postdoc
  Scientific assistant
  Professor
  Alumnus/Alumna
  External
  Student
  Doctoral student
  Admin.,Techn. management
• Work Basis (%)*
• Child:
• Family name*
• First name*
• Date of birth (DD.MM.YYYY)*
• Gender* Unknown
  Female
  Male
• First language* German (Swiss) German English French Italian Afrikaans Albanian Arabian Armenian Bengali Bosnian Bulgarian Catalan Chinese Croatian Czech Danish Dutch Estonian Farsi Finnish Greek Hebrew Hindi Hungarian Icelandic Indonesian Japanese Korean Kurdish Latvian Lithuanian Norwegian Oromo Persian Polish Portuguese Punjabi Rhaeto-Romanic Romanian Russian Serbian Slovak Slovenian Spanish Swedish Tajik Tamil Tigrinya Turkish Ukrainian Urdu Uzbek Vietnamese
• Desired date of enrollment (DD.MM.YYYY)*
•  A sibling is already enrolled in a kihz daycare centre
• Custody* Joint
  Mother
  Father
• Favored kihz daycare centre:
• Priority: You may give the same priority to several daycare centres.
• kihz Hönggerberg Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Bülachhof Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Platten Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Schönberggasse Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Tierspital Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Sumatra Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Feyerabend Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Chriesbach Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• kihz Oerlikon (only UZH members) Out of Question Priority 1 Priority 2 Priority 3 Priority 4
• Favored amount of care in days:
• Minimum attendances: 2 full days. (It is possible to spread them over half days).
• Monday Full day Morning incl. lunch Afternoon without lunch --
• Tuesday Full day Morning incl. lunch Afternoon without lunch --
• Wednesday Full day Morning incl. lunch Afternoon without lunch --
• Thursday Full day Morning incl. lunch Afternoon without lunch --
• Friday Full day Morning incl. lunch Afternoon without lunch --
• Flexibility  Other days apart from the ones you’ve marked should be proposed if available
• Remarks
• Data Privacy:
  The provided data will be used exclusively by the kihz platform for administration purposes. These will never be made public.
  According to Swiss data privacy laws
•