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Congressman Ryan
Representing Ohio's Seventeenth Congressional District
Internship Application
Full Name: __________________________________________________________
Home Address: School Address:
____________________________ _________________________________
____________________________ _________________________________
Phone: ______________________ _________________________________
E-mail Address: _____________________________________
In which office(s) would you prefer to intern?
District Office ________ Washington, D.C. Office ________ Either ________
Dates and hours available to participate in the program (be as specific as possible):
________________________________________________________________________
College or University: _____________________________________________________
Current year: ____ Freshman, ____ Sophomore, ____ Junior, ____ Senior,
____ Grad Student (If so, what degree program? __________________ )
MAJOR: ____________________________ MINOR: _________________________
Are you planning to get academic credit for this internship? ________
If YES, number of course credits you anticipate: __________
Name and phone of program coordinator: _____________________________________
Please include a copy of course requirements/expectations.
How did you learn about this program? _______________________________________
Describe your familiarity with computers, list specific software knowledge: ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
PART II: Please attach a resume
Return the completed form and attachments to:
Internships in Washington Office
U.S. Representative Tim Ryan
1421 Longworth House Office Building
Washington, D.C. 20515
Fax: 202-225-3719
Attn: Intern Coordinator
Internships in Ohio:
U.S. Representative Tim Ryan
197 West Market St.
Warren, OH 44481
Fax: 330-373-0098
Attn: District Intern Coordinator
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