Untitled Header Image

24-25 New Student Application

indicates a required answer

2024-25 Veritas Florida Hybrid Homeschool

1. *

Please select a campus location.

2. *

Student's First Name

3. *

Student's Last Name

4. *

Student's Preferred Name

5. *

Student's Gender

Male Female
6. *

Student's Birthdate

7. *

Student's Current School

8. *

Student's 2023-24 Grade

9. *

2024-25 Grade Level Entering

10. *

Dad's First & Last name

11. *

Mom's First & Last Name

12. *

Home Street Address

13. *


14. *


15. *


16. *

Is student in good standing at his/her current school?

 (1 required)
yes no
17. *

Has student ever been retained in a grade or failed a subject? If so, please provide details.


18. *

CAMPUS CLASSES: Check all classes you are interested in for your student.

 (1 required)
Humanities (History, Language Arts, etc.) Elective: Math
Scholars Day Elective: Science
19. *

Dad's Cell Phone Number

20. *

Mom's Cell Phone Number

21. *

Dad's Email Address

22. *

Mom's Email Address

23. *

Dad's Occupation and Employer

24. *

Mom's Occupation and Employer

25. *

Please list families you know who attend Veritas Florida.

26. *

Please briefly describe the reason(s) why you are applying your student to Veritas Florida.

27. *

Please list your student's current extracurricular activities.

28. *

Please list extracurricular activities into which your student would like to enroll.

29. *

Do both parents live at home?

yes no
30. *

Does the student have access to a mentoring adult who has completed college/has college credit?

yes no
31. *

Student History: please provide a brief evaluation of the student's prior academic, emotional, and social background. List all academic concerns such as dismissal from any prior school(s), academic or behaviorual disciplinary actions from a school, readmission and/or reenrollment denial from a school, and non-diagnosed and/or formally diagnosed mental, behavioral, or social issues that are present in your student (ex.: disobedience, ADHD, bullying, Asperger's Syndrome, etc.)

NOTE: undisclosed academic, mental, behavioral, or social issues and/or concerns may result in dismissal from the program and Veritas Florida is not equipped to educate students with significant learning issues.

32. *

Please provide a brief narrative about your student's health information, to include allergies.


33. *

What is your family's church?

34. *

Please provide a narrative of the parent's faith journey/testimony.

35. *

Is the student a follower of Jesus Christ?

36. *

Parent Signature: I certify that all the above information is true. I understand that my non-refundable registration fee must accompany this application for it to be processed and my student to be considered for the program. I understand that upon acceptance the financial contract with be remitted to me.