VR CAREER CAMP at MARINO CAMPUS

SUMMER 2019

Marino Campus - Broward

Miami Campus - Miami-Dade

Four One-Week Sessions at Each Site

Vocational Rehabilitation Referral Needed

For young adults with disabilities ages 14-21

ACTIVITIES INCLUDE:

Résumé Writing

Job Search Skills

Career Goal Development

Self-Advocacy Skills

Virtual Interactive Training Agent (ViTA-DMF)

Leadership Skills

Career Exploration

Participant can only attend 1 Session
Applicant Personal Information
Applicant Name *
Applicant Name
Applicant Date of Birth *
Applicant Date of Birth
Must be 14 to 21 years old at start of program
Applicant Address *
Applicant Address
Best Contact Number *
Best Contact Number
Parent or Legal Guardian Information
Are you the Applicant’s Court-Ordered Legal Guardian if Applicant is 18 or Older? *
Parent/Guardian Address *
Parent/Guardian Address
Parent/Guardian Phone *
Parent/Guardian Phone
Applicant Education
Must be attending school in Fall 2019
Applicant Health Information
Primary Disability Diagnosis: *
Document must be less than 1 year old
I understand that this application is for admission to The Dan Marino Foundation VR Career Camp. I certify that the information provided 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. Should any of the above information change I will notify The Dan Marino Foundation immediately.