Congressman Bradley Byrne

CONGRESSMAN BRADLEY BYRNE ALABAMA'S FIRST DISTRICT

Application for Internship – Summer 2017 (Please Print or Type)

Name:______Social Security #:______

Home Address:______Zip:______

School Address:______Zip:______

Telephone -- Home :(___)______School: (___) ______

Age: ______Date of Birth:______E-mail______

Name of Parents: ______(Please list first names of both parents and address (es) if different from above.

Education

School Attending & Major:______

Current Academic Status: (Fr., Soph., Jr., Sr.):______G.P.A.______

Extracurricular Activities, Honors and Interests: ______

Work Experience/Office Skills (Please list in order past work experience and duties performed or attach résumé) Employer Position Duties Dates ______Other Office Skills: ______

(See page 2) Intern Application Page Two Place photo here

1. Why do you want to be a Congressional Intern?

2. Are you expected to write a paper as a result of your internship? Will you be given credit toward your degree as a result of this internship?

3. How did you learn about the intern program?

4. Are you applying with any other Congressional Offices (House or Senate), or with a federal agency for an internship? If so, please specify:

5. Are there any areas of Congress or government to which you would like to give major attention during your internship?

6. Will you need assistance in locating housing during your internship?

7. If this internship is unpaid, will your interest in a position with our office change? Summer 2017 Sessions

1st choice 2nd choice 3rd choice

May 15 - June 9 ______June 12- July 7 ______July 5 – August 4 ______

Please mail to 11 North Water Street, Suite 15290 Mobile, AL 36602, or fax to 202-225-0562. Deadline: January 31, 2017. Must be postmarked on or before deadline. No exceptions.

*Every effort will be made to accommodate all applicants; however, in the event that more applications are received than can be accommodated, priority will be given to upcoming seniors who reside in the first district of Alabama. Please be advised that if you are selected, we make no guarantee that either your first or second sessions will be granted. The status of the application will only be discussed with the applicant.