Internship Application

January 1, 2017
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Title
First: *
     
Mid:
Last: *
     
Suffix:
Address: *

     
Apt #:
City: *
     
State: *
     
Zip: *
Phone: *
* Indicates Required Field

1.
If you are currently enrolled in school, name the school *
2.
Grade level *
3.
Major (if applicable)
4.
Coursework in Government
5.
Other Experiences in Government (internships, student government)
6.
Volunteer or Work Positions Held (please give dates)
7.
Special Spoken and Written Communication Skills
8.
Do you speak a language other than English? If yes, which language?
9.
Experience/Knowledge of Computers and Word Processing Programs
10.
Availability (Times/days of the week/start and stop date if applicable)
11.
Why are you interested in working for a state government office?