Oregon Vocational Rehabilitation Internship Application

Oregon Vocational Rehabilitation (VR) welcomes student interns from Rehabilitation Counseling and related training programs. All placements are onsite/in person only. We do not offer virtual internship placements. This form will give you the opportunity to apply for an internship or both internship and practicum. VR is unable to accept applications from students who are only seeking practicum placements. Please complete all sections of this application.


Attaching a current resume, cover letter, and unofficial transcript is a requirement. Be sure to have these documents ready when you begin your application, progress cannot be saved.


A copy of this application will be kept with the VR Internship Coordinator as well as being shared with the Branch Managers and potential Site Supervisors at the VR offices you have indicated in this application. All students placed in a VR office must pass a background check before they can begin onsite. Having a criminal background will not necessarily impact your ability to serve as an intern or practicum student with VR.

I am applying for:*
What type of academic program are you enrolled in?*

Select all that apply.

Student contact information

Examples: Michael vs. Mike; Dawn vs. John.

Where you live currently.

Phone
Phone

Academic information

This could be your major, title of your program, or what will be stated on your diploma for degree graduating with. Examples: Rehabilitation Counseling; Psychology; Human Services.

Select the type of delivery for your program of study.*

If there is a faculty that is specific to helping you set-up your clinical coursework, please share that individual's name. In some programs, this staff member is known as a Clinical Coordinator.

Phone
Which qualification does your university program require for clinical supervision?*

This is a scholarship offered to students through some universities' Rehabilitation Counseling program.

Select
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Practicum information

What academic format does your program follow?*

Select all that apply.

Select all that apply.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Students will work with their site supervisor to determine their actual Practicum schedule based on all parties' availability.

Internship information

What academic format does your program follow?*

Select all that apply.

Select all that apply.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Preferred format: Start time - end time


All hours must be between 8:00am and 5:00pm. Evening and weekend hours are not available.

Students will work with their site supervisor to determine their actual internship schedule based on all parties' availability.

Experience with diverse populations

This information can be given in a narrative or list format. Please do not state, "See resume."

Language proficiency

Do you have proficiency in languages other than English?*
Rate your expressive ASL skills.*
Rate your receptive ASL skills.*

If you have proficiency in multiple languages, please list any additional languages at end of section.

Rate your spoken fluency in this language.*
Rate your reading fluency in this language.*
Rate your writing fluency in this language.*
Rate your spoken fluency in this language.
Rate your reading fluency in this language.
Rate your writing fluency in this language.

Goals

Please provide three to four sentences.

Select all that apply.

  • Portland-Metro: Beaverton, Central Portland, Clackamas, East Portland, Hillsboro, St Helens
  • Mid-Willamette Valley: Albany, Corvallis, South Salem, North Salem, Eugene, Springfield, McMinnville, Woodburn
  • Central Oregon: Bend, La Pine, Madras, Prineville, Redmond
  • Southern Oregon: Roseburg, Grants Pass, Klamath Falls, Medford, White City
  • Eastern Oregon: Baker City, Burns, Enterprise, John Day, La Grande, Ontario
  • Columbia Gorge: Hermiston, Hood River, Pendleton, The Dalles
  • Oregon Coast: Astoria, Brookings, Coos Bay, Florence, Gold Beach, Newport, Tillamook

Professional references

This can include faculty, current and former employers and volunteer sites. Please do not include family members or roommates. References may be contacted as a part of the application process. Please list 3 references.

In months and years.

Phone

In months and years.

Phone

In months and years.

Phone

Required attachments

  1. Current resume
  2. Cover letter
  3. Unofficial school transcript
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