Geisinger Health System Internship Application 
Submission Instructions

This application should be completed by all applicants to undergraduate- or graduate-level non-clinical internship programs offered at any Geisinger location. Some individual programs may have special requirements or deadlines.  If applying for a specific position, please review the position description carefully before completing your application.

Please adhere to the following guidelines when submitting a GHS Internship Application:

  • Be sure to complete all sections of the application. Incomplete or incorrectly formatted applications will not be processed.
  • Resumes and cover letters must be submitted in plain text format.  Click here to learn more about plain text formatting.
  • Application deadlines are as follows.  
                   -Fall semester: September 15
                   -Spring semester: November 15 *Extended to November 30, 2009*
                   -Summer: March 15

     
    Personal Information
     
    (Format: mm/dd/yyyy)
    (Format: (111) 222-3333)
     
     
    Permanent Address
     
     
    School Address
     
    Employment Information
    Are you 18 years of age or older?
     
     
    Can you provide proof of your eligibility to work?
     
     
    Are you a U.S. Citizen or alien who has the legal right to remain and work in the U.S.?
     
     
     
    You will be required to furnish documents proving identity and eligibility to work in the U.S. if you are extended an offer for a position, paid or unpaid.
     
    Academic Information
     
    Current Institution
     
     
     
     
     
     
    (Format: mm/dd/yyyy)
     
    Previous Instiution(s)
    1.
     
     
     
     
     
     
    (Format: mm/dd/yyyy)
    2.
     
     
     
     
     
     
    (Format: mm/dd/yyyy)
     
    Internship Information
    I am applying for positions at the:
    *
     
    I am interested in:
    *
     
     
    Site Preference
    Please select at least one region where you would like to complete your internship.
     
    Regions:
     
    Department Preference(s)
    Please list up to 3 departments that interest you. You must list at least 1 department.
    Note: The Internship Office does not handle placements that involve direct patient care or clinical duties. Please visit <http://www.geisinger.org/professionals/education/edu_opps.html> for information on nursing, medical education, etc.
     
    Availability
    Please note: Information entered here reflects the applicant's preferences only, and is intended to gather details about availability. Requirements regarding hours, shifts, and scheduling vary by department.
    Term and Date Preferences
     
    Please enter the year(s) of the term for which you are applying:*
     
    Please enter the earliest date you will be available (Desired Start Date) and the last day you will be available (Desired End Date).
    (Format: mm/dd/yyyy)
    (Format: mm/dd/yyyy)
    Scheduling Preferences
    I would prefer to work:
    *
     
    I am available on the following days (check all that apply):
    *
     
    (full time = 40 hrs/wk)
     
    Work-Study Information
    A number of summer work-study internships are available through the PHEAA-Degenstein Summer Scholars Program. To be eligible, students must live in Columbia, Montour, Northumberland, Snyder or Union County and be approved for work-study by PHEAA.
     
    Are you applying for a position offered through the PHEAA-Degenstein
    Summer Scholars work-study program?
    *
     
     
     
     
     
    2.) Do you meet one of the following eligibility requirements?
    -For undergraduate students: Receiving or eligible for state grants from PHEAA
    -For graduate students: Receiving or eligible for subsidized loans from PHEAA
     
     
     
    3.) After reviewing the eligibility guidelines for PHEAA by visiting the work-study area of the agency's website at <http://pheaa.org/workstudy/index.shtml>, do you believe that you qualify for the program?
     
     
     
    4.) Please list the position number(s) of the job(s) to which you are applying:
    If you are contacted to interview for a PHEAA-Degenstein position, please download, complete and bring with you the State Work Study Program application, available at pheaa.org.
     
    Supplementary Information
    Please be sure to complete all items in each of the following seven (7) sections.
     
    1. Please submit your resume and cover letter as a required part of your application package. These documents must be typed or pasted in plain text (no tabs or special characters).
    Click here to learn more about plain text resumes and cover letters.
    Note: GPA/course information is subject to verification. In addition, some departments and programs require an official transcript. You may be asked to provide a transcript at a later date.
     
     
     
     
     
    4. How did you hear about the Geisinger Health System Internship Program?
    *
     
     
    5. Have you ever been convicted of a felony or misdemeanor?
    *
     
     
    6. Do you have a current (issued within the past 12 months) Pennsylvania Child Abuse History Clearance, certified by ChildLine?
     
    *
    7. Do you have a current (issued within the past 12 months) fingerprint-based FBI clearance, issued by Cogent?
     
    *
     
    References
     
    Please list three professional or academic references. You may list former managers, supervisors or bosses, and/or educational references such as professors or advisors. Friends and relatives should not be listed.
    1.
    (Format: (111) 222-3333)
     
     
     
    2.
    (Format: (111) 222-3333)
     
     
     
    3.
    (Format: (111) 222-3333)
     
     
     
    Application Submission
    All phases of employment at Geisinger Health System are based strictly upon the qualification of the individual as related to the work requirements of the position. This criterion is applied without regard to gender, color, religion, national origin, age, disability, handicap, or status as a Vietnam-era or special disabled veteran, or any other non-job-related factors.

    I certify, to the best of my knowledge, that the information contained in this application is true and complete. I understand and agree that any false information, misrepresentation, or concealment of fact is sufficient grounds for either my refusal of employment by GHS or immediate discharge without recourse. I acknowledge that this application whether approved or disapproved may be retained indefinitely by the GHS.

    I understand that this application or any other documents are not employment contracts. I understand and agree that GHS may verify all information relative to my background and employment. I also release from liability, for doing so, GHS and any employer, individual or other organization that provides background information.

    I understand that employment or internship is conditioned upon the following:
     
    By the applicant:
     
    i. Completion of the pre-employment drug screening (indicating no presence of drugs)
    ii. Signing of the Code of Conduct
    iii. Submission of completed paperwork for Child Abuse History Clearance and FBI Federal Criminal History Report
     
    On behalf of the applicant:
     
    i. Successful verification of employment and educational history
    ii. Satisfactory check of references and background
    Geisinger Health System is a drug-screening employer and we promote a drug-free work environment.

    Geisinger Health System is an equal opportunity, affirmative action employer: M/F, D, V
     
    Please enter your initials (digital signature) in lieu of a signature. By entering your initials, you are agreeing to the of terms and conditions listed above, officially acknowledge the submission of this application, and confirm that the information entered into this application is true and accurate.