<p> Congressman Harold Rogers – Kentucky</p><p>Intern Application </p><p>What season and year would you like to intern?</p><p>______</p><p>Personal Information</p><p>Name ______</p><p>Address ______</p><p>______</p><p>E-mail Address ______</p><p>Home Phone ______Work Phone______</p><p>Cell Phone ______</p><p>Date of Birth ______Soc. Sec. # ______</p><p>Father’s Name ______Work Phone ______</p><p>Mother’s Name ______Work Phone ______</p><p>Education Information</p><p>High School ______GPA ______</p><p>Graduation Date ______College/University ______GPA ______</p><p>Major/Minor ______</p><p>School Address ______</p><p>______</p><p>School Phone ______</p><p>Extracurricular Activities ______</p><p>______</p><p>______</p><p>Work Experience</p><p>______</p><p>______</p><p>______</p><p>______</p><p>References (List 3 non-family members, including phone number)</p><p>______</p><p>______</p><p>Dates Available for Internship ______</p><p>If a paid internship is not available, would you be interested in interning on a volunteer basis? ______</p><p>Write an essay based on one of the following two topics. The essay must be typed and double-spaced.</p><p>1) How would a congressional internship benefit you with your future goals and aspirations?</p><p>2) Describe a national current issue and discuss your position on the issue. Some examples are healthcare, economy or education.</p><p>Please return your application to the following address:</p><p>Congressman Harold Rogers Attn: Chelsea Whalen 551 Clifty St. Somerset, KY 42503</p><p>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.</p>