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Indiana Senate Republican Caucus

  
  

    Indiana Senate Legislative Internship Application
    Name:
    College/university:
    Year:
    Major:
    Expected graduation date:
    Minor:
    Current Address:
    Permanent Address:
    Telephone: (Current)
    Telephone: (Permanent)
    Political affiliation:
    Email Address:
    Grade Point Average


    College activities, honors, awards:


    Government or political experience (employment, campaign volunteer work, etc.):


    Areas of public policy interest (environment, education, health care, taxation, etc.):


    What specialized skills do you have?


    Writing sample
    1.) Write an essay (200 words or less) on why you want to serve in the
    Senate intern program and what you hope to gain from this experience.


    Work Experience

    Employer Position:
    Responsibilities:
    Immediate supervisor:
    Beginning date / Ending date:


    Employer Position:
    Responsibilities:
    Immediate supervisor:
    Beginning date / Ending date:


    References
    Name: Name:
    Address: Address:
    City: City:
    Title: Title:
    Telephone: Telephone:

    I certify that there are no misrepresentations or falsifications of these statements and answers. I am also aware that falsification of this application, or any accompanying data, may result in my dismissal from the Senate Intership Program.

     

    Please send copy of grade transcript to: Kathleen Hursh, Senate, State of Indiana, 200 W. Washington St., Room 126, Indianapolis, IN 46204-2785

Indiana State House, 200 W. Washington Street, Indianapolis, IN 46204