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Senate Democratic Caucus
Indiana General Assembly
200 W. Washington
Indianapolis, IN 46204
(800) 382-9467
 

2011 Legislative Internship Application

Important

In addition to this application, please e-mail (if possible) the following to eshrock@iga.in.gov:

  • A college or university transcript
  • 1 recent academic writing sample.
  • An essay (200-300 words) describing why you want to be an intern
  • Please submit the following by regular mail:

A minimum of three letters of recommendation from employers or faculty members (Please ask references to include telephone contact information)

Send this information, to:

Elise Shrock, Intern Director
Indiana Senate Democrats
200 W Washington St, Rm 401
Indianapolis, IN 46204-2785

This information must be received by October 31, 2010.

Applicants will be contacted to arrange an interview, which will take place at the Statehouse in Indianapolis beginning in mid October.

If you have any questions, please call or email Elise Shrock at: 317.232.9496 or 1-800-382-9467 eshrock@iga.in.gov

Last Name:

First Name:

College/University:

Academic Year:

 Junior
Senior
Graduate
Other

Current Address
(address, city, state, zip):

Permanent Address (address, city, state, zip):

Phone:

Email:

Major:

Minor:

GPA:

Birthdate:

Party Affiliation:

Post-Graduation Plans:

What motivated you to choose your major(s) and minor(s)?

Campus activities (organization membership, offices held and other non-course activities):

Computer Skills (programs and levels of proficiency):

List non-governmental/non-polictical employment (employer, position, dates, address, supervisor, supervisor contact info):

Governmental and / or political experience (campaign volunteer work, appointed or elected offices held, civilian or military experience, etc . . .):

Designate three areas of public policy interest (environment, education, mental health, taxation, crime, etc . . .) and briefly describe reasons for the interest:

Would you be able to secure housing in the Indianapolis area for the duration of the legislative session?

How did you learn of our internship program?

By checking the box below:

  • I verify that the statements and representations above are true and accurate;
  • I agree to arrange for a copy of my academic transcript as well as three letters of recommendation to be submitted as part of my completed internship application; and
  • I understand that failure to provide true and accurate information related to my application will serve as grounds for the rejection of my application and/or may result in my dismissal from the Senate Democratic Internship Program:

I agree to the terms set forth in this application.: