ADMISSIONS APPLICATION
Please complete the entire admissions application and submit.
Campus Attending
Applying to Study
STUDENT INFORMATION
Full Name
Your answer
Grade to enter
Gender
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
Home or Cell Phone
Your answer
Email
Your answer
SCHOOL INFORMATION
School Last Attended
Your answer
Location of School Last Attended
Your answer
Is student in good standing at current/former school?
Has the student ever been retained in a grade? or failed a subject?
List Siblings at Veritas
Your answer
PARENT/GUARDIAN INFORMATION
Father's Name (or Guardian #1)
Your answer
Occupation
Phone
Your answer
Email
Your answer
Mother's Name (or Guardian #2)
Your answer
Occupation
Your answer
Phone
Your answer
Email
Your answer
Child resides with...
Family Spiritual Life
Do both parents profess to be a Christian?
Do you regularly attend church or worship services?
Where to you attend church or worship services?
Your answer
Do you regularly have family prayer or Bible time?
As parents/guardians are you committed to rearing your child in a Christian home?
On what Biblical principles to you base your family life?
Your answer
EDUCATIONAL INFORMATION
Please list all schools with grades your child has attended since kindergarten.
Your answer
Has your child ever been expelled or suspended?
If yes explain.
Your answer
Does your child have any issues that might affect their behavior or academic achievement?
If yes explain.
Your answer
HEALTH INFORMATION
Does your child have any physical, emotional, or attention problems which may require special medication of limit participation in certain activitites?
If yes explain.
Your answer
Does your child have any severe allergies aside from seasonal?
If yes explain.
Your answer
REFERENCES
List the name, title (or nature of relationship), email and cell/phone for each person you list as a reference.
Pastoral Reference
Your answer
Personal Reference
Your answer
Academic Reference
Your answer
DOCUMENTS
Please submit or provide students last report card or current transcript. Prior years standardized testing may be requested.
SIGN AND SUBMIT
To sign the registration form please write the name of the parent completing the form along with today's date. Afterwards please review the application before submitting.
Name of parent/guardian completing the application
Your answer
Today's Date
MM
/
DD
/
YYYY
Submit
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