[2018-2019] Student Application
PLEASE COMPLETE A SEPARATE FORM FOR EACH NEW STUDENT. Please contact us with questions at (980) 677-0101.

ENROLLMENT APPLICATIONS FOR THE LOTTERY WILL BE ACCEPTED UP UNTIL 9 AM ON MARCH 16, 2018 A LOTTERY WILL BE HELD ON MARCH 16, 2018 AT NOON FOR ANY GRADE WHICH IS OVER ENROLLED.

Applications after that time will be accepted on a first come, first served basis for any available seats.

Student's Full Name *
Your answer
Student's Date of Birth *
MM-DD-YYYY
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student's Current School Name *
Please submit "NA" for rising Kindergarten students
Your answer
Current School's City, State *
Please submit "NA" for rising Kindergarten students
Your answer
Student's Grade for 2018-2019 *
Is student a sibling of a current VERITAS Student? *
If yes, what is the the Student's First and Last Name?
Your answer
Were you referred by a current VERITAS family?
If yes, what is the family's name?
Your answer
SIGN HERE: Your signature indicates that your child(ren) reside in the state of North Carolina and are eligible for public school enrollment in this state. Please type your name in the below box to represent your signature (required). *
Your answer
Relationship to Student *
Your answer
Phone Number *
Ex: 999-000-3344
Your answer
Email Address *
Your answer
How did you hear about VERITAS? *
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