United States Senator George LeMieux

Internship Application Form

Note: Fields marked with an * are required.

Please use the following form to contact the Office of Senator George LeMieux with your comments regarding internships. Click here to download this application.

Details

Location * Washington Florida

Session * Spring Session (Jan. – May) Summer Session I (May – Jun.) Summer Session II (Jul. – Aug.) Fall Session (Sep. – Dec.)

Prefix * Mr. Mrs. Ms.

First Name *

Middle Initial

Last Name *

Permanent Address 1 *

Permanent Address 2

City *

State * ----Military---- AA AE AP ----States---- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Phone Number

Cell Number

E-mail Address

Parent or Guardian's Name

Academic Information

College or University

Degree

Major

Minor

Grade Point Average

Expected Year of Graduation

Objectives

What are your career aspirations?

List and/or describe any special skills that may not be apparent from your resume.

Have you had any previous political / campaign / government experience?

What are your areas of interest?

References

Reference 1

Name and Position

Phone Number

E-mail Address

Reference 2

Name and Position

Phone Number

E-mail Address

Reference 3

Name and Position

Phone Number

E-mail Address

Please indicate the days and times you are available

From

e.g. MM/DD/YEAR

To

e.g. MM/DD/YEAR

Days of week available

e.g. M T W Th F

Times available

e.g. am/pm