Applicant's Contact Information Prefix: - None -Ms.Miss.Mrs.Mr.Mr. and Mrs.Mx.Rev.Dr.The HonorableRabbi First Name: * MI: Last Name: * Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Street Address: * Street Address Continued: City: * State: * Zip Code: * Permanent Address (if different) Street Address: Street Address Continued: City: State: Zip Code: Email: * Verify Email: * Phone Number: * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone. Emergency Contact Information: Emergency Contact Name: * Emergency Phone Number: * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] Relationship: * Applicant's Additional Information Desired Location(s): * District Office Washington DC Office Please indicate what dates you will be available to start and end your internship and your weekly availability between the hours of 9am-5pm within that timeframe: * Additional Relevant Information Skills applicable to internship Please use this box to write a brief paragraph about yourself, including the reasons why you would like to intern in a congressional office: * List specific issues or areas of interest to you: * 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 Relevant if you are currently enrolled in College/University. Year in School: * Graduation Date: * Year Year20212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 GPA: * Major: * Activities/Honors: * Career Objectives: * Names and Contact Information for up to Three References * Applicant's Cover Letter and Resume: Cover Letter: * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Resume: * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Your file size can not exceed 1MB. Documents must be the following file types: .doc, .docx, .pdf, .rtf, .txt Mac users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list. CAPTCHA
