Internship Application - Catholic Charities of Eastern Oklahoma

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INTERNSHIP APPLICATION

To apply for one of our apprenticeship opportunities, please fill out the following form. Thanks!

LinkedIn

This field is for validation purposes and should be left unchanged.

Which apprenticeship program are you applying for?(Required)

Automotive Technician

Culinary Specialist

Administrative Assistant (Bilingual Role)

Certified Nursing Assistant

Construction Technology

Physical Therapy Technician

Would you be interested in either of the below programs?

Other

How did you hear about us?(Required)

CCEOK Website

John 3:16 Mission

Exodus House

Eden Village

Referred by another CCEOK Program

Other

If referred by another CCEOK Program, which one?(Required)

Case Management Services

Emergency Assistance

Adult Education

Transitional Living

The Market

Other

Name(Required)

First Name Last Name

Phone(Required)

Email(Required)

Enter Email Confirm Email

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

Do you have proof of authorization to legally work in the United States?(Required)

Yes

No

Are you 18 or older (must be able to legally enter into contract)(Required)

Yes

No

Date of Birth(Required)

Are you currently employed?(Required)

Yes

No

What is your current hourly pay rate?(Required)

Do you currently receive benefits like insurance or 401k from your job?(Required)

Yes

No

Do you have a resume? If not, the following form will create one for you.(Required)

Yes

No

Please Upload Resume here(Required)

Max. file size: 40 MB.

Work Experience

Most Recent Job Title (If never employed enter N/A)(Required)

Most Start Date

End Date (If still working leave blank)

Please Enter Job Duties and Responsibilities

Do you have more work experience you want to add?(Required)

Yes

No

Work Experience Continued

Job Title(Required)

Start Date(Required)

End Date(Required)

Please Enter Job Duties and Responsibilities(Required)

Do you have more work experience you want to add?(Required)

Yes

No

Work Experience Continued

Job Title(Required)

Start Date(Required)

End Date(Required)

Please Enter Job Duties and Responsibilities(Required)

Education

Education (Please check all that apply)(Required)

Graduated High School

Currently in High School

Completed GED

Currently Completing GED

Received Certificate of Attendance

Received Special Diploma

Did not complete High School or GED

Anticipated High School Graduation or GED Completion(Required)

Other Degrees/ Certifications possessed(Required)

Have you ever been incarcerated or convicted of a felony? If yes, we will discuss at the interview.(Required)

Yes

No

Once admission to the program has been granted, a drug and background check will be required. Do you agree to complete these screenings?(Required)

Yes

No

Briefly explain why you are interested in working in the hospitality/ food service industry.(Required)

Briefly explain why you are interested in working as an administrative assistant(Required)

Briefly explain why you are interested in working in the warehouse/ market.(Required)

Compliance(Required)

I agree to comply with the rules and policies and understand that Catholic Charities shall have the right to dismiss me from the program for attendance issues, for failure to participate or for disruptive behavior.

I agree to the Compliance Policy

Certify(Required)

I certify that all statements given in this application are true and accurate to the best of my knowledge. I agree that if my records are not complete within the initial term of enrollment or if any information is found to be false, I may be suspended from classes.

I certify the above is true

Today's Date

Contact

P.O. Box 580460.

Tulsa, Oklahoma 74158-0460

918.949.4673

Fax: 918.582.2123

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