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Name:
Email Address:
Age:
Date of Birth:
Social Security Number:
   
   
Current Address  
Street Address:
City:
State:
Zip:
Phone Number:
   
   
Permanent Address  
Street Address:
City:
State:
Zip:
Phone Number:
   
   
Education  
College/University:
Degree/Major:
G.P.A.
Graduation Date:
   
Please tell me about any scholarships, extracurricular activities, honors and volunteer work:
   
Related Political Experience:
   
   
Work Experience:
   
What are you career objectives?
   
Which office are you interested in doing your internship?

Washington, D.C.
Colorado Springs, CO
Englewood, CO
Grand Junction, CO
Loveland, CO
Pueblo, CO


Please tell me when you would like to do your internship: Spring
Summer
Fall
Essay Questions
Please answer two of the following questions. Limit your essays to 125 words.
   
1. How has your education & extracurricular experiences prepared you for the future?
 
2. Why do you want to be an intern in a Senate office?
 
3. What do you consider your most significant achievement in life and why?
 
4. Why should we select you as an intern?
   

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