Wyoming Application

Welcome to Venture Upward, Wyoming! We are excited that you have chosen to partner with us for the 2023/2024 school year. Once you complete this application, we will contact you to talk about the next steps and begin the process of navigating the remaining enrollment process through Fremont County School District #25. Contact us at apply@ventureupward.org or 716-427-2677 if you need assistance.

Please select one of the following application options:*
- I'm ready to get started as soon as possible!
- I am interested in joining Venture Upward, but I am not ready to commit. Please have someone contact me with more information.
Which School District do you live in?*
How many years of homeschooling experience do you have?*
Parent Name*
First Last
Phone*
Email*
Student Name*
First Last
Age warning 1*
- This student is at least five years old as of Sept 1, 2023
All students must be at least five years old to participate in the Venture Upward program.
Grade level as of September 1, 2023*
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
Student 2
- Add Another Student
Second Student Name*
First Last
Age warning 2*
- This student is at least five years old as of Sept 1, 2023
All students must be at least five years old to participate in the Venture Upward program.
Student Grade level as of September 1, 2023*
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
Student 3
- Add Another Student
Third Student Name*
First Last
Age warning 3*
- This student is at least five years old as of Sept 1, 2023
All students must be at least five years old to participate in the Venture Upward program.
Student Grade level as of September 1, 2023*
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
Student 4
- Add Another Student
Fourth Student Name*
First Last
Age warning 4*
- This student is at least five years old as of Sept 1, 2023
All students must be at least five years old to participate in the Venture Upward program.
Student Grade level as of September 1, 2023*
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
Student 5
- Add Another Student
Fifth Student Name*
First Last
Age warning 5*
- This student is at least five years old as of Sept 1, 2023
All students must be at least five years old to participate in the Venture Upward program.
Student Grade level as of September 1, 2023*
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
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