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Contact Earl

PORTLAND:
729 N.E. Oregon Street
Suite 115
Portland, OR 97232
t: (503) 231-2300
f: (503) 230-5413

WASHINGTON D.C.:
2267 Rayburn House Office Building
Washington, DC 20515
t: (202) 225-4811
f: (202) 225-8941

Internship Signup

Title Mr.    Ms.
First Name *
Last Name *
Address
Address 2
City
State
Zip Code
Phone Number
Date of Birth
University
School Address
City, State, and Zip Code
School Phone Number
Email
Grade Point Average
Dates Available From to
Hours Per Week
Will you receive academic credit for the internship? Yes   No
Where would you like to intern? Portland.    Washington D.C.    Either

In which issue areas are you interested? Check all that apply.
Livable Communities
Transportation
Environment
Water
Budget/Taxes
Education
Foreign Affairs
Trade
Agriculture
Health Care
Women's Issues
High Tech
Housing
Social Security/Senior Issues

Please write a brief essay describing your relevant work experience and your goals during this internship: