GREAT CAREERS START HERE

APPLY BELOW

SPRING BREAK

March 26 to March 29, 2018

Marino Campus - Broward

Miami Campus - Miami-Dde

9:00 am – 3:00 pm

$300 or VR Referral for the 4-day program

For young adults with developmental disabilities ages 15-21

Pre-Employment Skills Training

•Career Goal Development

•Résumé Writing

•Job Searching

•Interviewing Using Virtual Reality (ViTA)

•Workplace Etiquette

Applicant Personal Information
Name *
Name
DOB *
DOB
Address *
Address
Best Contact Number *
Best Contact Number
Parent or Legal Guardian Information
Are you the Applicant’s Legal Guardian? *
Address *
Address
Phone *
Phone
Applicant Education
Are you planning on returning to high school next year? *
Applicant Health Information
PRIMARY DISABILITY DIAGNOSIS: *
I understand that this application is for admission to The Dan Marino Foundation Youth Employment Academy. 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.