Congressional Internship Application

Note: Fields marked with an * are required.

Applicant's Contact Information

First Name *

Last Name *

Street Address *

Street Address Continued

City *

State *

Zip Code *

Email *

Telephone Number *

Date of Birth *

Where would you like to work (check all that apply)

District Office

Washington DC Office

Desired Session(s)

Fall

Spring

Summer

Emergency Contact Information

Emergency Contact Name *

Telephone Number *

Skills applicable to internship

List specific issues and areas of interest to you

Have you served a prior internship in Washington D.C. or in a district office? If yes, with whom?

Academic Information

Schools attended, beginning with your current school *

If you are currently enrolled in College/University, please answer the following:

Is academic credit available for internships?

Yes

No

Year in School

Graduation Date

GPA

Major

Activities/Honors

Career Objectives

Names and Addresses of Three References

Please use this box to write a brief paragraph about yourself, including the reasons why you would like to intern in a congressional office.

Applicant's Cover Letter and Resume

Cover Letter *

Resume *

Human Validations

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Operation Sacred Legacy/Veterans History Project

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First Name *

Last Name *

Phone Number *

Enter as XXX-XXX-XXXX

Email Address *

Date of Birth *

Enter as XX/XX/XXXX

City of Residence *

Military Branch *

U.S. Army

U.S. Navy

U.S. Air Force

U.S. Marine Corps

U.S. Coast Guard

National Guard

Check all that apply

Date Entered Into Service *

Enter as XX/XX/XXXX

Date Seperated From Service *

Enter as XX/XX/XXXX

Rank at Time of Discharge *

Preferred Day for Interview *

Enter as XX/XX/XXXX

Preferred Time for Interview *

9AM - 12PM

12PM - 3PM

3PM - 5PM

Preferred Day for Interview (Second Choice)

Enter as XX/XX/XXXX

Preferred Time for Interview (Second Date)

9AM - 12PM

12PM - 3PM

3PM - 5PM

Preferred Day for Interview (Third Choice)

Enter as XX/XX/XXXX

Preferred Time for Interview (Third Date)

9AM - 12PM

12PM - 3PM

3PM - 5PM

Any questions or comments?

Share Your Opinion: What are your infrastructure priorities?

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First Name: *

Last Name: *

Email Address: *

Zip Code: *

What are your top infrastructure priorities? *

Projects that prevent toxic discharges from Lake Okeechobee.

Ensuring clean drinking water for our communities.

Repairing roads and bridges.

Getting Floridians online with reliable broadband access.

Securing our energy sources against cyberattacks.

Increasing public transit options.

Other

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Sign Up For News Alerts: Preserving Florida's Natural Resources

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First Name: *

Last Name: *

Email Address: *

Zip Code: *

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Sign Up For News Alerts: Reducing Taxes & Federal Spending

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First Name: *

Last Name: *

Email Address: *

Zip Code: *

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Sign Up For News Alerts: Serving Our Veterans

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First Name: *

Last Name: *

Email Address: *

Zip Code: *

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