Budget Committee Internship Application
(Please fax to 202-226-7174)
Full Name: _______________________________________________________________________
Social Security: _________/_____/__________
Permanent Home Address:
Street: __________________________________________________________________________
City: _____________________________________ State: _______ Zip Code: _______________
Home Phone: (____)___________________
Present School, Mailing and E-mail Address:
Name: ____________________________________________________________________
Address: __________________________________________________________________
School Phone: (_____)_____________________ E-mail Address: _____________________
Status: ___ Freshman, ___ Sophomore, ___ Junior, ___ Senior
MAJOR: ____________________________ MINOR: __________________________
Expected Date of Graduation: ___________________
Number of course credits you anticipate: __________
Semester you are interested in working: __ Summer (June-August), __ Spring (Jan.-May), __ Fall (Sept.-Dec.)
Starting Date: __________________ Ending Date: __________________
Name and Phone of Program Coordinator: ____________________________________________
Requirements:
How to Succeed in your Internship:
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