New Intern Application
2026-2027 School Year
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Project SEARCH™ Program Site:
________ | INTEGRIS Canadian Valley Hospital Project SEARCH™ 1201 Health Center Parkway Oklahoma City, OK 73112 Jill Scott, Instructor Office: 405-345-3335 Cell: 405-203-8186 Email: jscott@cvtech.edu |
Application Purpose & Guidelines
The purpose of this application packet is to outline the skill set of the Project SEARCH™ candidate. This application enables the Selection Committee* to properly assess each candidate’s skills, abilities, and background. A parent, student, counselor, teacher, or employer may be contacted by the Selection Committee to gather additional information. Our final goal is to select individuals who will be successful in a Project SEARCH™ program and reach the outcome of competitive employment.
The Selection Process includes the following guidelines:
- All students are encouraged to attend the “Information Night” activity and meet the instructors and job coaches before beginning Project SEARCH™.
- Submit the completed application by Friday, January 23, 2026 to:
Kari Stomprud
CVTC Special Needs Coordinator
6505 E Hwy 66
El Reno, OK 73036
- The Selection Committee will review the applications, keeping in mind the student’s skill set and interests, as they apply to the Project SEARCH™ Program.
- If accepted, the student must be able to pass a background check, drug screening, and be current on immunizations.
- If accepted, students MUST have a state-issued ID card or driver’s license.
Please note:
- The Selection Committee will include the Project SEARCH™ instructor, representatives from the host business, Oklahoma Department of Rehabilitation Services, OU/National Center for Disability Education and Training, and other agency/school representatives.
- This application packet is utilized for all candidates.
Selection Criteria:
- Be a high school graduate.
- Be 18 to 24 years of age.
- Have an active DRS case with an individual plan for employment (IPE) in place.
- Have completed at least one year of training at a career tech program.
- Be a Student who will benefit from participation in a variety of non-paid internships.
- Be a Student who does not have a current college plan.
- Be a Student who desires to work competitively at the end of Project SEARCH™.
Project SEARCH™ Application Packet Checklist
*PLEASE NOTE*
ALL THE REQUIRED DOCUMENTS MUST BE COMPLETED AND SENT TOGETHER FOR APPLICATION TO BE CONSIDERED
☐ Completed application packet (Student)
☐ Copy of state ID card or driver’s license (Student)
☐ 5 x 7 Photo Mrs. Stomprud will take a picture of you to submit
☐ Shot/Immunization record (Get from school nurse or family member or doctor)
☐ IEP (including Transition Goals) from senior year of high school (IEP Teacher)
☐ Most recent reading and math scores - should be on IEP or other battery of test (IEP Teacher)
☐ High School transcript and recent report card (High School Counselor)
☐ Career Tech transcript and recent report card (Career Tech Instructor)
☐ Attendance record – High School senior year (High School Counselor)
☐ Attendance record – Career Tech program (Career Tech Instructor)
☐ Career Assessment – if applicable (VR Counselor)
☐ Most recent MEEGS document or Psychological exam must have scores
(High School IEP Teacher or Special Services Administration)
Return completed Packet to:
Kari Stomprud
CVTC Special Needs Coordinator
6505 E Hwy 66
El Reno, OK 73036
Canadian Valley Technology Center Project SEARCH™
Event Calendar
- Parent Information Night – January 14th 6-7:30 PM at the Cowan Campus
- Candidate Tours January 14th through their CVTC classes
- Applications due – January 23, 2026
- Candidate Interviews – February 2-4, 2026
- Candidate selection – March 2026
- Letters out to students, VR Counselors – March 2026
- VR Counselors meeting for case activity – March 2026
- Summer community service activities -- June 2026
- First day of Project SEARCH™ program – August 2026
- Program completion (last day of classes) – May 2026
For more information, contact:
INTEGRIS Canadian Valley Hospital
1201 Health Center Parkway
Yukon, OK 73099
Jill Scott, Instructor
Office: 405-345-3335
Cell: 405-203-8186
Email: jscott@cvtech.edu
APPLICATION FOR ADMISSION PLEASE PRINT NEATLY
Canadian Valley Technology Center Project SEARCH™ program:
APPLICATION FOR ADMISSION PLEASE PRINT NEATLY
Canadian Valley Technology Center Project SEARCH™ program:
B. | PARENT/STUDENT INFORMATION: | |
1. | A student cannot participate if the student has not graduated from high school. | |
2. | Final placement into Project SEARCH™ will depend upon an Individual Plan of Employment (IPE) Meeting with your VR Counselor. | |
3. | Release: A copy of the last IEP, MEEGS and/or Physiological evaluation concerning my son/daughter may be kept on site and reviewed by the program professional staff. Student information may be released to program partners at the discretion of the program instructor. | |
4. | Equal Opportunity: Project SEARCH™ placement will be made without regard to race, color, national origin, sex, age, religion, or presence of a disability. | |
5. | Students selected for Project SEARCH™ will be required to pass drug screening and background check. | |
Student’s position within the Project SEARCH™ program is contingent upon adherence to the policies and procedures of both the School System and Host Business. By signing, the parent and student agree to comply.
Parent/Guardian Signature: | Date: | ||
Parent/Guardian Signature: | Date: | ||
Student Signature: | Date: |
C. | SCHOOL USE ONLY: | |||||||||||
Days Absent from Career Tech - | 1st year: |
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Days Tardy - | 1st year: |
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Comments about Attendance and/or Tardiness: | ||||||||||||
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Applicant IQ Score: |
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This Section to be completed by Career Tech Instructor of Record | ||||
PLEASE RATE THE FOLLOWING STATEMENTS: 1 = Low Concern and 4 = High Concern | 1 | 2 | 3 | 4 |
Daily Behavior | ||||
Attention to Task | ||||
Work Ethic | ||||
Conflict Resolution Skills | ||||
Desire for Competitive Employment | ||||
Maturity Level | ||||
Instructor Comments: |
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Instructor Signature: |
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D. EMPLOYMENT BACKGROUND:
How do you want to be employed in the community upon completion of Project SEARCH™?
☐ | Part time | ☐ |
Which shift would you prefer working after graduating from Project SEARCH™?
☐ | 2nd Shift | ☐ | 3rd Shift | ☐ | Any Shift | ☐ | No Preference | ☐ |
Do you plan to work during the school year, in addition to being in the Project SEARCH™ program?
☐ | No | ☐ |
If yes where? |
| How many days/ hours? |
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List jobs you do or have done in school or in the community:
Have you ever been fired from a job?
Yes | ☐ | No | ☐ |
If yes, please explain:
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Have you ever quit a job?
☐ | No | ☐ |
If yes, please explain:
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What responsibilities do you have at home?
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E. TRANSPORTATION:
How do you plan to get to Project SEARCH™?
Public Transit | ☐ | Parents | ☐ | Drive Self | ☐ | School Bus (if available) | ☐ |
F. DEPARTMENT OF REHABILITATION SERVICES (DRS) INFORMATION:
Do you have a DRS Vocational Rehabilitation Counselor?
Yes | ☐ | Counselor Name: |
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No | ☐ | Phone Number: |
| Date DRS Case was opened: | |
Comments: |
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G. D.H.S, DEVELOPMENTAL DISABILITIES SERVICES (DDS) INFORMATION:
Are you eligible or do you currently receive DDS Services?
Yes | ☐ | Case Worker Name: |
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No | ☐ | Phone Number: |
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Comments: |
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H. INDEPENDENT LIVING:
Medications/ dosage/ Time of day taken by student
Medication | Dosage | Time of day |
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List any health, medical, or allergy issues that may impact participation or a successful job placement:
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Please list any limitations (physical, mental, or emotional) that impact participation and employment:
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Do you receive Social Security benefits? Have you ever met with a Social Security or
Yes ☐ No ☐ DRS benefits planner? Yes ☐ No ☐
I. BEHAVIORAL SUMMARY:
Do you have any behaviors that might impact a successful job placement?
Yes | ☐ | No | ☐ |
Please Explain:
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STUDENT RESPONSE QUESTION
Why do you want to come to Project SEARCH™? (Complete in your own words)
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List Four References (Non- Related):
Name | Relationship to you | Phone Number | E-mail Address |
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This application has been completed by:
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Name | Title | Phone Number | Date |
Signature |
***** Please specify Ladies or Men’s (circle one)
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Project SEARCH™ Program
Student Contract
Parent/Guardian: Read the student contract below and sign and date.
I, ___________________________, understand that if I have been accepted into the Project SEARCH™ program I must abide by the following terms and conditions:
- I will complete at least two unpaid job rotations within the host business.
- I will attend the program every day from 8:00 am - 3:00 pm, Monday through Friday.
- I understand that the Project SEARCH™ program correlates with the Canadian Valley Technology Center school calendar.
- I will dress appropriately and wear the required uniform.
- I will call my instructor and departmental supervisors when I am absent or tardy.
- I will follow all the rules, policies, and procedures established by the Project SEARCH™ program, Canadian Valley Technology Center, and host business.
- I will attend evaluation meetings with my rehabilitation counselor, parents, teachers, and business staff.
- I will be an active participant and communicate any issues at our evaluation meetings.
- I will actively pursue employment.
- I will take a TB test, Flu Shot, COVID shots, and Drug Screening required by the Host Business.
- I understand that by signing this document, I permit for the partner agencies to share and discuss testing, reports, and other pertinent information with each other.
I have read the above terms and conditions and agree to accept my placement in the Project SEARCH™ program if selected. I understand that I may be asked to leave Project SEARCH™ if I fail to follow the terms and conditions.
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Student Signature Date
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Parent/Guardian Signature Date
MEDIA RELEASE FORM
Canadian Valley Technology Center and the Project SEARCH™ Oklahoma Partners
Parent/Guardian: Read the student contract below and sign and date.
I, (print student name) ____________________________________, hereby grant to Canadian Valley Technology Center and the Project SEARCH™ Oklahoma Partners the irrevocable and unrestricted right to use and publish/broadcast photographs, videos, social media and audio recordings of me, or any in which I may be included, for editorial, trade, advertising and any other purpose and in any manner or medium; to alert the same without restrictions; and to copyright the same.
I hereby release Canadian Valley Technology Center and the Project SEARCH™ Oklahoma Partners and their legal representatives, successors, and assigns for all claims and liability relating to said photograph, video, images and audio recordings. I understand that any use of my image will relate to the school and Project SEARCH™ activities, and also that I receive no compensation for the use of my image and/or name.
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Signature of Student Date
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Signature of Parent/Guardian Date