2015 House Republican Intern Application

Application Deadline October 31, 2014

Please answer the questions below as completely as possible. Once we receive all necessary information, we will be in contact with you to set up an interview.

Questions marked with a * are required.

*1. First Name:
*2. Middle Name:
*3. Last Name:
*4. Contact / Primary address:
*5. City, State, Zip:
6. School address (if different from contact address):
7. City, State, Zip:
*8. Contact phone # (with area code)
*9. Email address:
*10. Date of Birth:
*11. College/University (current or most recent):
*12. Cumulative GPA:
*13. Academic Major(s):
14. Academic Minor(s):
*15. Academic standing (based on university credits):
Graduate Student (bachelor's obtained)
Graduated with bachelor's degree
Graduated with associate's degree
*16. Political Affiliation:
*17. Rank your preferred department (1 being your first choice):
1 2 3 4 5
Member Services
Computer Technology
no preference
18. Please list any college activities, awards or honors:
19. Please list any specialized skills you have:
20. Please list any government or political work experience: (employment, campaign, volunteer, etc.)
Writing Sample
*21. Please submit a short essay (250 words or less) describing why you would like to participate in the House Internship Program:
*22. Have you ever been arrested for or convicted of a crime that has not been expunged by a court?
23. If yes, please explain:
24. How did you hear about this internship?
25. Will you be seeking housing in the Indianapolis area for the duration of the internship?
PLEASE NOTE: To complete your application for the House Republican Internship, please mail, e-mail or fax the following: official college transcript, 2-3 letters of reference (at least 1 professional and 1 personal), and your resume.
Jacob Quinn, Intern Director / Indiana House of Representatives / Republican Caucus / 200 W. Washington Street / Room 401-1 / Indianapolis, IN 46204 / jacob.quinn@iga.in.gov / fax: 317.234.9298 / phone: 317.232.9793
- OR -
Ali Norman, Communications Intern Director / Indiana House of Representatives / Republican Caucus / 200 W. Washington Street / Room 401-4 / Indianapolis, IN 46204 / ali.norman@iga.in.gov / fax: 317.234.9257 / phone: 317.232.9824
*26. By checking this box, I verify that the statements and representations above are true and accurate. I also understand that additional documents must be submitted in order to complete my application.
I understand and will abide by the conditions outlined above.