Internship Application Form

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Note: Fields marked with an * are required.

Section I: Personal Information

First Name: *

Middle Name: *

Last Name: *

E-mail Address: *

Age: *

Date of Birth: *

Social Security Number: *

Permanent Address

Street Address: *

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone: *

School Address

Street Address: *

City: *

State: *

Zip Code: *

Home Phone: *

Cell Phone: *

Section II: School Information

College or University: *

Current Year of College: *

Graduation Date: *

Major: *

Minor (if any): *

G.P.A.: *

Section III: Availability

Please mark the internship session for which you are applying: *

Fall Session Spring Session Summer Session

Please indicate dates you are available: *

Deadlines:
Spring semester is October 15th
Summer session March 1st
Fall semester July 1st.

Please include the following with this application form:

A complete resume including past work experiences.
A brief personal statement outlining political issues of importance to you.
Letters of recommendation from three persons familiar with your work and/or academic performance, such as recent college professors and former employers. (May be sent directly by the reference.)

Preference is given to residents of Kansas who have completed their junior year in college and are planning to return for their senior year.

Due to mail irradiation procedures, most mail takes several weeks to arrive. Therefore, please fax the requested additional information to (202) 224-3514, Attention: Theda Owens. Should you have further questions, you may reach the office at (202) 224-4774.

U.S. Senator Pat Roberts

Home / Students / Internship Application Form

Internship Application Form

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