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Application 25-26

Thank you for your interest in Vero Beach Academy! Before applying, please read through statements about who we are:

VBA combines all the benefits of homeschooling and the formal classroom with the support of a caring community.
Students attend class on Tuesday and Thursday each week.
Parents are provided with lesson plans to complete at home.
We are a homeschool co-op, not a public or private school. Therefore, parents must manage any scholarships they have secured.
Teachers pray and teach Bible lessons on school days.
If deemed necessary by our staff, you may be required to have an aid present with your child on school days.
All fees are non-refundable.

If you have questions, please contact admissions@verobeachacademy.com.

Parent/Guardian #1

Parent/Guardian #1: First Name *

Parent/Guardian #1: Last Name *

Parent/Guardian #1 Relationship to Student(s) *

Parent/Guardian #1: Phone Number (Number) *

Parent/Guardian #1: Email Address *

Parent/Guardian #2

Parent/Guardian #2: First Name

Parent/Guardian #2: Last Name

Parent/Guardian #2: Relationship to Student(s)

Parent/Guardian #2: Phone Number

Parent/Guardian #2: Email Address

Family Information

Address *

City *

State *

Zip Code (Number) *

For which school year are you applying? *

What attracted you to Vero Beach Academy's educational model? *

What aspects of Vero Beach Academy are appealing to you and your family (check all that apply)? *

Social/Emotional
Classroom Experience
Academic Remediation
Homeschool Assistance
Alternative to Full-Time School

Are you willing to support Vero Beach Academy by volunteering? *

Yes

Who do you know that currently attends the co-op?

Were you referred by a current VBA family? If so, please list only one name here:

Please check all categories for which at least one of your children may need additional support: *

Academic
Behavioral
Emotional
Social
Medical
None of the Above

Please check all services that your child is currently receiving or has received in the past 12 months: *

Occupational Therapy
Physical Therapy
Speech Therapy
Language Therapy
Behavioral Therapy
Mental Health Counseling
None of the Above

Is there anything else you would like us to know (recent major life changes, severe allergies, reason to start homeschooling, etc.)?

Student Information- Student #1

Student #1: First Name *

Student #1: Last Name *

Student #1: Grade Enrolling In *

Student #1: Birthdate *

Student #1: Gender *

Student #1: What school did your child last attend? *

Student #1: Has your child ever had an Individualized Education Plan (IEP) or needed any specific Exceptional Student Education (ESE) support? *

Yes

Student Information- Student #2

Student #2: First Name

Student #2: Last Name

Student #2: Grade Enrolling In

Student #2: Birthdate

Student #2: Gender

Student #2: What school did your child last attend?

Student #2: Has your child ever had an Individualized Education Plan (IEP) or needed any specific Exceptional Student Education (ESE) support?

Yes

Student Information- Student #3

Student #3: First Name

Student #3: Last Name

Student #3: Grade Enrolling In

Student #3: Birthdate

Student #3: Gender

Student #3: What school did your child last attend?

Student #3: Has your child ever had an Individualized Education Plan (IEP) or needed any specific Exceptional Student Education (ESE) support?

Yes

If you are applying for more than three children, please visit www.verobeachacademy.com and submit another application.

If applicable: Please attach copies of your child(ren)'s Individualized Education Program(s) (IEPs).

List of Allowed file types

Additional Notes

Please be sure to pay the Application Fee of $200 per student. If your Application Fee does not come through, you will be asked to complete the process again.

Application Fee

Item	Price	Quantity	Subtotal
Application Fee Per Student	$200.00
Total

Total amount paid: $0.00 USD

Approvals

A number of approval stages need to be completed before this submission can be accepted.

Stage 1- Operations

Appropriate approvers from the Stage 1- Operations group will be automatically allocated for this approval stage.

Stage 2- Administration

Appropriate approvers from the Stage 2- Administration group will be automatically allocated for this approval stage.

Stage 3- Placement

Appropriate approvers from the Stage 3- Placement group will be automatically allocated for this approval stage.

Stage 4- Finance

Appropriate approvers from the Stage 4- Finance group will be automatically allocated for this approval stage.

Stage 5- Operations

Appropriate approvers from the Stage 5- Operations group will be automatically allocated for this approval stage.