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Veritas 2024-2025 Waiting List
Thank you for applying for your student to attend Veritas Alternative Ed. Each year we have a limited number of spots for enrollment.
We will call to schedule student interviews when we a spot opens up.
Please use a phone number and email address that you check regularly for communications from us.
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* Indicates required question
Student Name:
*
Your answer
Student Date of Birth:
*
MM
/
DD
/
YYYY
Parent/Guardian Name:
*
Your answer
Cell Phone:
*
Your answer
Home Phone:
*
Your answer
Email: (Please list an email that is checked regularly for contact during the summer.)
Your answer
Street Address:
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
Student's Age:
Your answer
Grade Level:
*
9
10
11
12
Other:
Number of Credits Earned to Date:
*
Your answer
Last School Attended:
*
Your answer
School District of Residence:
*
Your answer
Has the student taken the SAT?
*
Yes
No
What made you decide to leave your last school?
*
Your answer
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