Response

Internship Application
Note: Fields marked with an * are required.

Contact Information
________________________________________________________________________

Prefix

First Name

Last Name

Suffix

Street Address:

Street Address Continued:

City

State

Zip

Phone

Applicant's Additional Information
________________________________________________________________________

Date of Birth

Desired Location (select all that apply):

Washington DC
District Office

RequiredDesired Internship Type (select all that apply):

Washington DC - General Internship
Washington DC - Communications Internship
District Office - General Internship

Desired Session (select all that apply):

Fall
Spring
Summer – Session 1
Summer – Session 2

Permanent Address (if different)

Emergency Contact Information
________________________________________________________________________

Emergency Contact Name:

Relationship:

Emergency Contact Phone:

Emergency Contact Email:

ADDITIONAL RELEVANT INFORMATION

________________________________________________________________________

List specific legislative/policy issues or areas of congressional interest to you

Have you served a prior internship in Washington D.C. or in a district office? If yes, with whom?

Academic Information
________________________________________________________________________

Schools attended, beginning with your current school

Names, email, and addresses of three references

Are you seeking academic credit for your internship

Year in School

Graduation Date

Major

GPA

Advisor

Activities/Honors

Career Objectives

In 500 words or less, please tell us a little about yourself.

Applicant's Cover Letter and Resume:
________________________________________________________________________

RequiredPlease upload your resume

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RequiredCover Letter

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