Bradenton-Sarasota Campus Application
2021-22 Veritas Florida Hybrid Homeschool
Student's First Name *
Student's Last Name *
Student's Preferred Name *
Student's Gender *
Student's Birthdate *
Student's Current School *
Student's Current Grade *
2021-22 Grade Level Entering *
Dad's First & Last name *
Mom's First & Last Name *
Home Street Address *
City *
State *
ZIP *
Do both parents live at home? *
Dad's Cell Phone Number *
Mom's Cell Phone Number *
Dad's Email Address *
Mom's Email Address *
Describe the student's study/school area at home. *
Does the student have access to appropriate research materials? *
Does the student have access to a mentoring adult who has completed college/has college credit? *
Student History: please provide a brief evaluation of the student's prior academic background. List any formal diagnosis and/or any academic concerns, mental, behavioral, or social issues that are present in your student (ex.: ADHD, etc.) NOTE: undisclosed academic, social, or behavioral issues may result in dismissal from the program. *
What is your family's church? *
Please provide a brief narrative of the parent's faith journey/testimony. *
Is the student a follower of Jesus Christ? *
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. *
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