Internships

Internship Application

Note: Fields marked with an * are required.

First Name *

Last Name *

Date of Birth *

Telephone Number *

Email Address *

Address *

Address 2

City *

State *

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code *

Permanent Address (if different)

Address

Address 2

City

State

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Academic Information

Year in School *

Anticipated Graduation Date *

Schools attended, beginning with your current school *

Is academic credit available for internships?

Yes

No

Major *

GPA *

At which location are you looking to intern? *

District Office

Washington DC Office

Skills applicable to internship

Have you completed a prior congressional internship in Washington, DC or in a district office? If yes, with whom?

List specific issues and areas of interest to you

Activities/Honors

Career Objectives

Names and Contact Information 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. *

Additional Information

Emergency Contact Name *

Emergency Contact Telephone Number *

Human Validation

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