Response

Applicant's Contact Information:

Prefix

* First Name

* Last Name

Suffix

Address Line 1

City

State

Zip

* Email

* Phone

* Date of Birth:

* Desired Location(s): District Office
Washington DC Office

* Desired Session(s): Fall
Spring
Summer

Permanent Address (if different):

* Emergency Contact Name:

* Emergency Phone Number:

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 a 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:

* Year In School

* Graduation Date:

* GPA:

* Major:

* Advisor's Name:

* Activities/Honors:

* Career Objectives:

* Names and Addresses of Three References:

Applicant's Cover Letter and Resume:

* Cover Letter:

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* Resume:

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