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Internship Application

I appreciate your interest in being an intern in one of my offices. Please fill out this form accurately and completely.

Personal Information
Name:
Address:
City:
State:	Zip:
Phone:
Email:
Date of Birth (mm/dd/yy):


School Information
School Name:
Address:
City:
State:	Zip:
Phone:
Date of Graduation (mm/yy):
Major:
GPA:


Other Information Please select one from each of the following selections:
Computer Skill Level:
Typing Ability:
I can Intern in:
I am available from:
to:
I am available:	Full Time Part Time


Why are you interested in a Congressional Internship with Shelley Berkley?



What areas of legislation interest you the most?



Please list your relevant experience (class work, projects, memberships, etc.)