Contact Information

Prefix

First Name * First Name is required.

Last Name * Last Name is required.

Suffix

Email Address * Email is required. Invalid Email format.

Street Address * Street Address is required.

City * City is required.

State * AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP AS FM GU MH MP PR VI

Zip Code * Zip is required. Zip has to be a number.

Phone Number * Contact Phone Number is required. Phone number must be 10 digits.

Additional Applicant Information

Date of Birth * Date of Birth is required.

Preferred Office Location

DC
District

Permanent Street Address (if different)

City

State AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP AS FM GU MH MP PR VI

Zip Code Zip has to be a number.

Availability Period

Emergency Contact Information

Name * Emergency Contact Name is required.

Phone Number * Emergency Phone Number is required.

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

Is academic credit available for internships?

Yes
No

Year in School

Graduation Date

GPA

Major

Honors/Activities

Career Objectives

Advisor's Name

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.

Please enter the relevant portions of your résumé or CV below.