Biographical Information   Name __________________________________________________  Date of Birth ____/____/_____                        Last                            First                             Middle Current Address _______________________________________________________________                                                Street                         City/State                              Zip Current Phone ____________________             Effective Until:__________________ Perm. Address________________________________________________________________                                                Street                         City/State                              Zip Perm. Phone ____________________             Effective Until:__________________   Academic Information   Academic Institution _______________________ Current Class in Program ___________________    Expected Graduation: _______________ Major(s) ___________________    Current G.P.A. _______________ Do you plan to apply for academic credit? ______   If so what term: ______________ Indicate any experience you have with computers and/or specific software (e.g. Windows 2000, Word Perfect, Excel, etc) _____________________________________________________________________________ General Information   Will you require housing? __________________   Available dates to intern :________________________ Do you plan to work outside of the internship? ________ Have you previously worked in a political office? ______ How did you find out about Congressman Boyd's Internship Program? _______________ Additional Relevant Information/Skills: _______________________________________________________ _______________________________________________________________________________________ Be sure to include a copy of your resume and a cover letter, and mail the completed form to: Legislative Correspondent Office of Congressman Allen Boyd 107 Cannon HOB Washington DC 20515 Note: Due to recent security changes involving Congressional mail delivery, it may be more expedient to fax your application to our office. Our fax number is (202) 225-5615.