Marino Campus – Online Application

Campus Site Preference *
First and Last Name *
First and Last Name
Birth Date *
Birth Date
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Are you the applicant’s court-ordered legal guardian? *
Is the applicant legally able to work in the United States and provide required documentation? *
Program of Interest *
† Continuing Education Programs are not licensed by or under the preview of the Commission for Independent Education. Both continuing education courses; Social Skills and Independence and Career Exploration and Development are designed for the purpose of skills enhancements and development that may assist in the procurement of employment.
Has the applicant ever been suspended or expelled from school? *
Has the applicant ever been arrested, convicted of, and/or have charges pending for any criminal offense? *
I understand that this application is for admission to Marino Campus and is only valid for the term indicated (Fall Enrollment: August 2019). I certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application may result in denial of admission. If admitted, I hereby agree to abide by the policies, rules, and regulations of The Dan Marino Foundation. *
By selecting the “I Accept” button, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.