Internships : Congressman Rick Allen

Internships

Applicant's Contact Information

Prefix:

First Name: *

MI:

Last Name: *

Suffix:

Street Address: *

Street Address Continued:

City: *

State: *

Zip Code: *

Email: *

Applicant's Telephone

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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: *

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: