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24-25 New Student Application

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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. *

City
14. *

State
15. *

ZIP
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.