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