Newmark Prospective Student Application 2024-2025

Dear Child Study Team Member,

Thank you for your interest in Newmark Education.

Below is Newmark’s Prospective Student Application, please enter the information requested noting required fields are marked as “required”. You will have an opportunity at the end of the application to attach applicable student record documentation. Ensure you have reviewed all information before clicking submit. Once the form is electronically submitted, you will have the opportunity to print a copy of the completed form for your records.

Upon receipt of records, the Admissions Office will email confirmation to the CST and mail a postcard to parents.

After review, Newmark will contact you to advise of admissions status. If Newmark is an appropriate match, an official intake will be scheduled.

For more information or assistance completing this form, please contact Joe Miloscia at jmiloscia@newmarkeducation.com.

Case Manager

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Student Information

Seeking Placement (Check all that apply)

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The following fields are required, if you do not have a score available please check the corresponding box indicating it is "Unavailable".

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Student Home/Residential Information


Record Documents Upload

Please utilize the following section to upload applicable student record documentation. Please note files cannot exceed 5MB.


Electronic Signature

The electronic signature and all of its related fields replaces a handwritten signature on paper and is legally binding.

I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature and its related fields are treated like a handwritten signature on a paper form.

Case Manager

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