• Internship Application - Oaks Integrated Care

    Oaks Integrated Care considers applicants for all positions without regard to: race; color; religion; sex; national origin; age; sexual orientation; marital or veteran status; the presence of a medical condition, genetic information or handicap, unrelated to performing the tasks of the job; or any other legally protected status.

  • Applicant Information

  • Date of Application
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Internship Preferences

  • Fields of Interest*
  • Preferred Population(s)*
  • Availability*
  • Preferred Work Areas (Counties)*
  • How Did You Hear About Us?
  • Start Date Available*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Education

  • Education Entry*
  • Please enter up to 3 education entries.

  • Licensure and Experience

  • Previously employed at Oaks Integrated Care / Family Service / Steininger Behavioral Care Services?*
  • If yes, give dates of previous employment – From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Dates of previous employment – To
     - -
    2 digit month, 2 digit day, 4 digit year

  • Eligibility and Legal Questions

  • Do you have a valid driver's license?*
  • Are you legally eligible for employment in this country?*
  • Have you ever been convicted of a crime?*
  • Have you ever been adjudged (received a guilty ruling) in a civil or criminal court for abusing a developmentally disabled person receiving services from the NJ Department of Developmental Disabilities or placed with a community service provider regulated by the NJ Department of Human Services or any other community provider?*

  • Acknowledgements and Consents

  • I certify that the answers given herein are true and complete to the best of my knowledge. I understand that false or misleading information given in my application and/or interview(s) may result in disqualification for employment and/or discharge.*
  • I consent to an employment physical and PPD if required, and any future physical examinations as may be necessary.*
  • I consent to a post-offer drug screening*
  • If an internship is obtained with Oaks Integrated Care, I understand that my internship is subject to passing a criminal background check. I agree to pay the mandatory $40.70 fee upon scheduling my criminal background check.*
  • I acknowledge that no employment contract or guarantee is being made and that any internship is at-will*
  • I voluntarily give Oaks Integrated Care the right to make a thorough investigation of my past employment, educational background, and other relevant experiences. I agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I indemnify Oaks Integrated Care against any liability which might result from making such an investigation.*

  • Signature

  • Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: