Response

Prefix

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Cell Phone

DOB:

Permanent Address (if different)

Emergency Contact

Emergency Contact Phone

Academic Information

Is academic credit available for internships?

Schools attended, beginning with your current school:

Year in School:

Graduation Date:

GPA:

Major:

Advisor's Name:

Activities/Honors:

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?

Desired Location(s):

Desired Session(s):

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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