Response

Internships

Your Information:

Prefix

First Name

Last Name

Suffix

Address Line 1

Address Line 2

City

State

Zip

Home Phone

Cell Phone

Emergency Contact:
[input name & phone number]

Academic Information:

Is academic credit available for internships? Yes
No

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:

RequiredCover letter:

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RequiredResume:

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