Biographical Information:
Full Name:
Gender:
Birthdate:
Primary Phone:
Secondary Phone:
Email Address:
Parents/Guardians:
Current Address:
City, State, and Zip:
Address Current Until:
Permanent Address:
City, State, and Zip:
Academic Information:
High School:
Graduation Year:
Grade Point Average:
College:
Year In School:
Major(s):
Minor(s):
GPA:
Do you plan to seek academic credit for this internship?
Advisor:
Phone:
Email:
References:
Please list two (2) individuals who will be writing your letters of recommendation.
Academic Reference:
Title:
Address:
City, State, and Zip:
Daytime Phone:
Email:
Relation To You:
Character Reference:
Title:
Address:
City, State, and Zip:
Daytime Phone:
Email:
Relation To You:
Areas Of Interest:
Department:
Please indicate your top five areas of interest:
Session Dates & Locations:
The Fall 2012 internships start September 4th and run through December 21st for both D.C. and the State.
Please indicate if your start/end dates would vary from the above dates:
If YES, what dates are you available?
Preference for internship location:
Short Essays
Please answer the following questions. Essays must be less than 300 words.
Choose one of your extra curricular activities and describe how it has prepared you for an internship in the office of Senator Barrasso.
Teamwork is a necessity in our office to keep things going smoothly. What unique skills and experience can you bring as a team member?
What do you plan to take away from this experience that fits your long-term goals?
Additional Information
How did you hear about this internship opportunity?
I confirm that the above answers are true, accurate and complete to the best of my knowledge. I understand that any falsification in my answers will lead to the rejection of my application or dismissal from the program and I will not be allowed to re-apply. If selected, I hereby agree to abide by the rules and regulations for congressional employees and the office of Senator John Barrasso.