Internship Application | U.S. House of Representatives

Contact Information

Prefix: *

First Name: *

Last Name: *

Suffix:

Email Address: *

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Phone Number: *

Additional Applicant Information

Date of Birth: *

Preferred Office Location: * Portage Office
Holland Office
Washington, DC Office

Permanent Address (if different):

City:

State:

Zip Code:

Availability Period:

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

Is academic credit available for internships? Yes No

Year in School:

Graduation Date:

GPA:

Major:

Honors/Activities:

Career Objectives:

Names and Contact Information of Three References: