Personal Information

Date:

Full Name:

Date of Birth:

Address:

Phone:

E-Mail Address:

Name of Parent /Guardian(s):

Phone: Work:

Address if different than applicant's address:

High School:

Expected Year of Graduation:

High School Phone:

High School Contact:

The US Senate Page Program requires that a page be 16 or 17 years of age, either entering or leaving their junior year of high school, and must have a minimum of a 3.0 GPA.

Do you meet these requirements?

Tell us a little bit about yourself, such as your interests and activities.

What made you interested in becoming a page for the US Senate?

What do you hope to get out of being a page for the US Senate?

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