Veritas Application
Student Name: *
Your answer
Student Date of Birth: *
MM
/
DD
/
YYYY
Parent/Guardian Name: *
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Cell Phone: *
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Home Phone: *
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Email: (Please list an email that is checked regularly for contact during the summer.)
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Street Address: *
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City: *
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Zip Code: *
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Student's Age:
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Grade Level: *
Number of Credits Earned to Date: *
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Last School Attended: *
Your answer
School District of Residence: *
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Has the student taken the SAT? *
What made you decide to leave your last school? *
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