12th District Internship Application

Office of Congressman Sander Levin 12th District, Michigan Application for Congressional Internship   Name: ___________________________________

Date: ______________________

Address: ___________________________________________________________________________ ___________________________________________________________________________________ Telephone: _______________________

E-mail: ________________________

School: ________________________________ Current Year of Study: ____ FR

____SO

Major:____________________________

____ JU

____SR

____Grad

GPA: _____________________

List additional certification, awards, or honors received: ______________________________________ ____________________________________________________________________________________ Office for Internship: ____ Washington D.C. Date you can start: _______

_____ Michigan

Date you must finish: ______

Please select your familiarity with: Microsoft Office: ____ No Experience Yet

____ Some ____ Experienced

Database Programs: ____ No Experience Yet ____ Some ____ Experienced General Office (Copy, Fax, Phone): ____ No Experience Yet ____ Some ___ Experienced

Please Attach: A Current Resume A Recent Writing Sample (Within 6 months)