Congressman Harold Rogers – Kentucky

Intern Application

What season and year would you like to intern?

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Personal Information

Name ______

Address ______

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E-mail Address ______

Home Phone ______Work Phone______

Cell Phone ______

Date of Birth ______Soc. Sec. # ______

Father’s Name ______Work Phone ______

Mother’s Name ______Work Phone ______

Education Information

High School ______GPA ______

Graduation Date ______College/University ______GPA ______

Major/Minor ______

School Address ______

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School Phone ______

Extracurricular Activities ______

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Work Experience

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References (List 3 non-family members, including phone number)

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Dates Available for Internship ______

If a paid internship is not available, would you be interested in interning on a volunteer basis? ______

Write an essay based on one of the following two topics. The essay must be typed and double-spaced.

1) How would a congressional internship benefit you with your future goals and aspirations?

2) Describe a national current issue and discuss your position on the issue. Some examples are healthcare, economy or education.

Please return your application to the following address:

Congressman Harold Rogers Attn: Chelsea Whalen 551 Clifty St. Somerset, KY 42503

If you have any questions, please contact Chelsea Whalen at (202) 225-4601 or by e-mail at [email protected]. The application deadline is March 15 for summer internships.