Government Internship Application

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*Full Name

Preferred Name

*R#

*Major

Minor

*Classification

*Cumulative GPA

*Total hours completed (not including current enrollment)

Hours currently enrolled

Expected Graduation Date (MM/YYYY):

Age:

*Date of birth:

Local Address:

City

State

Zip

Phone:

Email Address:

Name of parents/guardians:

Permanent Address:

City:

State:

Zip:

Hometown and State

(if different from permanent address)

Type of Internship Preferred:

U.S. Congressional

State Legislative in Austin, TX (only offered spring semester of odd years)

Internship Period Desired:

Fall

Spring

Summer

Year

Year:

For your home district, please list the name of your:

U.S. Representative:

U.S. Senator:

State Representative:

State Senator:

Why are you interested in this internship and how will it enhance your education degree and/or help you achieve your career goals?

Briefly discuss a policy issue that is important to you.

Occasionally, opportunities are available in commodity organizations or associations in Washington, DC. Please rank your preference for your internship placement. This will be taken into consideration along with the availability of offices. (1 = first preference, 2 = second preference, etc.)

Congressional Office

Committee Office

Association:

Commodity Organization

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Davis College of Agricultural Sciences & Natural Resources

Address

P.O. Box 42123, Lubbock, Texas 79409-2123, Dean’s Office Location: Goddard Building, Room 108
Phone
(806)742-2808