Response

Internships

* marks required fields of data.

Applicants Contact Information:

Prefix

First Name

Last Name

Address Line 1

City

State

Zip

Cell Phone

Applicants Additional Information:

Date of Birth:

Desired Locations(s):

Washington DC Office

District Office

Desired Session(s):

Spring

Summer

Fall

Permanent Address (if different)

Address Line 1

City

State

Zip

Emergency Contact Information:

First Name

Last Name

Home Phone

Cell Phone

Additional Relevant Information:

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 the district office? If yes, with whom?

Academic Information

Schools attended, beginning with your current school:

If you are currently enrolled in College/University, please answer the following:

Is academic credit available for internships?

Yes

Year in School

Graduation Date

GPA

Major

Advisor's Name

Activities/Honors

Career Objectives

Names and Addresses of Three References

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

Applicants Cover Letter and Resume:

Cover Letter:

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Resume:

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Letter of recommendation:

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