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2009 Online Internship Application


Application Deadline October 15, 2008
( please complete all fields )
Name:
Email:
Home Address:
School Address:
Home Phone:
School Phone:
Date of Birth:

College/University: GPA:

Major(s): Minor(s):

Class: Sophomore
Junior
Senior
Graduate
Political Affiliation: Republican
Democrat
Independent

Expected graduation date:

Your preferred internship area:
 Member Services
Computer Technology
Communications
Policy


Please list any college activities, awards or honors:


Please list college classes you have taken and
computer skills which might be beneficial to this internship:





Other Work Experience:
Employer 1:
Position:
Start/End Dates:
Supervisor:
Employer Address:
Employer Phone:
 
Employer 2:
Position:
Start/End Dates:
Supervisor:
Employer Address:
Employer Phone:


Have you ever been convicted of a felony or misdemeanor?
No
Yes
If yes, please explain:


Have you ever been terminated from employment?
 No
 Yes


How did you hear about this internship?


Will you be seeking housing in the Indianapolis area
for the duration of the internship?