Arizona Application

Please complete all items below to apply. Contact us at apply@ventureupward.org or 716-427-2677 if you need assistance.

Please select one of the following application options:*
- 23-24 School Year
- 24-25 School Year
- I’d like to speak to someone for more information
Venture Upward partners with SCAZDL, an online, tuition-free public charter school. SCAZDL enrolls all students with proof of age and residency; disclosure of any specific or specialized learning needs are not collected or required upon enrollment in SCAZDL. Any fees charged by Venture Upward are not associated with or required for enrollment in SCAZDL. To enroll with SCAZDL directly, click here. For any questions about AZDL enrollment, please contact (480) 461-3222.
Do you have any homeschool experience?*
- No
- Yes
How many years of homeschool experience do you have?
Parent Name*
First Last
Phone*
Email*
Student Name*
First Last
Student Grade level as of September 1, 2023*
Student Grade level as of September 1, 2024*
Birthday*
MM slash DD slash YYYY
Gender*
- Male
- Female
Is your student currently on an IEP?
- No
- Yes
IEP Categories
- Autism
- Deaf-blindness
- Deafness
- Emotional disturbance (ED)
- Hearing impairment
- Intellectual disability
- Multiple disabilities (MDS)
- Orthopedic impairment
- Other health impairment (OHI)
- Specific learning disability (SLD)
- Speech or language impairment
- Traumatic brain injury (TBI)
- Visual impairment, including blindness
Does your student currently have a 504 plan?
- No
- Yes
Has this student been in a publicly funded school for any part of the 2023-24 school year?
- No
- Yes
What dates has this student been attending the publicly funded school this year?*
Student 2
- Add Another Student
Second Student Name*
First Last
Student Grade level as of September 1, 2023*
Student Grade level as of September 1, 2024*
Birthday*
MM slash DD slash YYYY
Gender*
- Male
- Female
Is your student currently on an IEP?
- No
- Yes
IEP Categories
- Autism
- Deaf-blindness
- Deafness
- Emotional disturbance (ED)
- Hearing impairment
- Intellectual disability
- Multiple disabilities (MDS)
- Orthopedic impairment
- Other health impairment (OHI)
- Specific learning disability (SLD)
- Speech or language impairment
- Traumatic brain injury (TBI)
- Visual impairment, including blindness
Does this student currently have a 504 plan?
- No
- Yes
Has this student been in a publicly funded school for any part of the 2023-24 school year?
- No
- Yes
What dates has this student been attending the publicly funded school this year?*
Student 3
- Add Another Student
Third Student Name*
First Last
Student Grade level as of September 1, 2023*
Student Grade level as of September 1, 2024*
Birthday*
MM slash DD slash YYYY
Gender*
- Male
- Female
Is your student currently on an IEP?
- No
- Yes
IEP Categories
- Autism
- Deaf-blindness
- Deafness
- Emotional disturbance (ED)
- Hearing impairment
- Intellectual disability
- Multiple disabilities (MDS)
- Orthopedic impairment
- Other health impairment (OHI)
- Specific learning disability (SLD)
- Speech or language impairment
- Traumatic brain injury (TBI)
- Visual impairment, including blindness
Does this student currently have a 504 plan?
- No
- Yes
Will this student be in a publicly funded school for any part of the 2023-24 school year?
- No
- Yes
What dates has this student been attending the publicly funded school this year?*
Student 4
- Add Another Student
Fourth Student Name*
First Last
Student Grade level as of September 1, 2023*
Student Grade level as of September 1, 2024*
Birthday*
MM slash DD slash YYYY
Gender*
- Male
- Female
Is your student currently on an IEP?
- No
- Yes
IEP Categories
- Autism
- Deaf-blindness
- Deafness
- Emotional disturbance (ED)
- Hearing impairment
- Intellectual disability
- Multiple disabilities (MDS)
- Orthopedic impairment
- Other health impairment (OHI)
- Specific learning disability (SLD)
- Speech or language impairment
- Traumatic brain injury (TBI)
- Visual impairment, including blindness
Does this student currently have a 504 plan?
- No
- Yes
Will this student be in a publicly funded school for any part of the 2023-24 school year?
- No
- Yes
What dates has this student been attending the publicly funded school this year?*
Student 5
- Add Another Student
Fifth Student Name*
First Last
Student Grade level as of September 1, 2023*
Student Grade level as of September 1, 2024*
Birthday*
MM slash DD slash YYYY
Gender*
- Male
- Female
Is your student currently on an IEP?
- No
- Yes
IEP Categories
- Autism
- Deaf-blindness
- Deafness
- Emotional disturbance (ED)
- Hearing impairment
- Intellectual disability
- Multiple disabilities (MDS)
- Orthopedic impairment
- Other health impairment (OHI)
- Specific learning disability (SLD)
- Speech or language impairment
- Traumatic brain injury (TBI)
- Visual impairment, including blindness
Does this student currently have a 504 plan?
- No
- Yes
Will this student be in a publicly funded school for any part of the 2023-24 school year?
- No
- Yes
What dates has this student been attending the publicly funded school this year?*
Note: Only five students can apply at a time. If you have more students, please fill the application out a second time.
Physical Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address
Same as Physical Address

Street Address Address Line 2 City State ZIP Code
How did you hear about us?*
Any additional comments or questions