Response

Internships

Your Information:

Prefix

* First Name

* Last Name

Suffix

* Address Line 1

Address Line 2

* City

* State

* Zip

Home Phone

Cell Phone

* Email

* Emergency Contact:
[input name & phone number]

Academic Information:

Is academic credit available for internships?

Yes

* Schools attended, beginning with your current school:

* Year in School:

Graduation Date:

* GPA:

* Major:

* Advisor's Name:

* Activities/Honors:

Skills applicable to internship:

* List specific issues or areas of interest to you:

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

* Office Location:

* Desired Session:

* Birthdate:

* Career Objectives:

* Names and Addresses of Three References:

* Please use this box to write a brief paragraph about yourself, including the reasons why you would like to intern in a congressional office:

* Cover letter:

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* Resume:

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