Congressional Intern Application Congressman Mark Walker North Carolina Sixth District
Please print out application, write-out answers, scan, and send to [email protected].
I. Personal Information
Name: ______(Last) (First) (Middle)
Preferred Name (if different from above): ______
Preferred Office: DC ______District ______
Preferred Internship (indicate year): summer ______fall semester ______spring semester ______
Date of birth: ______Social Security Number: ______
Permanent Address:
______(Street) (Apt.)
______(City, state, zip+4) (County)
Temporary Address (School):
______(Street) (Apt.)
______(City, state, zip+4) (County)
Contact number: ______E-mail Address: ______
Are you a US Citizen? Y / N
Are you a legal resident of the Sixth Congressional District of North Carolina? Y / N
Congressman Mark Walker --Intern Application Page 1 Father’s Name: ______
Father’s Address:
______(Street) (Apt.)
______(City, state, zip+4) (County)
Contact Number: ______
Mother’s Name: ______
Mother’s Address (if different):
______(Street) (Apt.)
______(City, state, zip+4) (County)
Contact Number: ______
II. High School/College Information:
School: ______
Address: ______
Phone Number: ______
Current Year: ______Year you will graduate: ______
List any majors/minors/degree programs: ______
Current Overall GPA: ______
III. Extracurricular Activities:
List any academic honor societies to which you belong:
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List any significant offices you have held since entering ninth grade:
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Congressman Mark Walker --Intern Application Page 2 Extracurricular activities have you participated since entering ninth grade? (please include any leadership roles, i.e. ‘Captain’):
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Describe your computer skills, including programs with which you are familiar and the level of proficiency you possess:
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Describe any job, internship, or volunteer experience you have had:
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List your primary interests and hobbies:
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What interests you in an internship with Rep. Mark Walker?
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Congressman Mark Walker --Intern Application Page 3 IV. Essay:
Write a brief character sketch of yourself. Include your basic attributes and those qualities that you believe are your strengths.
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V. Return Forms:
Applicants must send the following materials to [email protected] and have the subject line identity what internship is being applied for (i.e. ‘District Internship’, ‘D.C. Internship’):
Completed application Resume Writing sample
Applicants may either send recommenders the link the internship webpage or download the recommendation forms and send to them. Recommenders must send the following forms to [email protected] and have the subject line identity the applicant (i.e. ‘Susie Quinn’):
Have a teacher, coach or employer who is not related to you complete the Teacher/Coach/Employer recommendation form. Have one other person that knows you well, but is not related to you complete the personal recommendation form.
VI. Signature:
The following information on this form and any attachments or enclosures to it are true, complete, and correct to the best of my knowledge.
______(Signature) (Date)
Congressman Mark Walker --Intern Application Page 4 Questions? Please contact Olga Perkins at Congressman Walker’s Greensboro District Office at (336) 333-5005 or by e-mail at [email protected] or Louis Altobelli of Congressman Walker’s D.C. Office at (202) 225-3065 or by e-mail at [email protected]
Congressman Mark Walker --Intern Application Page 5