Veritas Education Form
Dear Parents, thank you for your interest in our service! Please fill out the following questions to help us better understand your needs and we will get back to you between 1-3 business days.

If you are ready for a first meeting or know when your first appointment is, please fill this form out at least 3 days before the appointment, so that we can better serve you and your family.
Parent name *
Your answer
Student name *
Your answer
Meeting time and date (if known); available/preferred meeting time and date
Your answer
Student's current school *
Your answer
Student's current grade level *
Student's first/native language *
If the student is not a native speaker, how long has the student been in the US? *
Student's interests/potential areas of study *
Required
Student's current/accumulated GPA *
Your answer
Student's main extracurricular activities *
Your answer
What is your child's dream/target school (s)? *
Your answer
Student's current status *
Parent(s)'s current immigration status *
Parent's cell phone number *
Your answer
Parent's email address *
Your answer
Student's current location (city, state, country) *
Your answer
Preferred method of contact *
What is the working language (first choice) for parents? *The main language of our service is in English and the official communication channel will be via email *
Required
What is the working language (second choice) for parents? *
Required
How did you hear about us? *
Required
Please provide any relevant information about your child, including the goal for the service. *
Your answer
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