Applicant’s Contact Information Prefix: First Name: * MI: Last Name: * Suffix: Street Address: * Street Address Continued: City: * State: * Zip Code: * Email: * Applicant’s Telephone Telephone Number: * Voice VP TTD What are these options? This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone. Applicant’s Additional Information Date of Birth: * Where would you like to work (check all that apply):District Office Washington DC Office Permanent Address (if different) Street Address: Street Address Continued: City: State: Zip Code: Emergency Contact Information: Emergency Contact Name: * Telephone Number: * Voice VP TTD Additional Relevant Information Skills applicable to internship List specific issues and 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: Is academic credit available for internships? Yes No Year in School Graduation Date GPA Major Activities/Honors Career Objectives Advisor’s Name * Names and Addresses 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. Applicant’s Cover Letter and Resume: Cover Letter: Resume: Your file size can not exceed 500KB. Documents must be the following file types: .doc, .docx, .pdf, .rtf, .txt Macintosh users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list.
