Internships

Internship Application

Note: Fields marked with an * are required.

Please complete and submit the form below to apply for an internship in one of our offices.

Your Name

Prefix *

Ms. Miss. Mrs. Mr. Rev. Dr. The Honorable Rabbi

First Name *

MI

Last Name *

Suffix

2nd 3rd 4th II III IV Jr. Sr. M.D. PH.D. and Family

Street Address *

Street Address Continued

City *

State

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code *

+4 Extension

Email *

Your Phone

Phone Number *

Phone Type *

Standard telephone device Videophone [VP] Text-telephone device [TTD]

What are these options?

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Permanent Address (If different)

Street Address

Street Address Continued

City

State

AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code

Emergency Contact

Emergency Contact Name *

Emergency Phone Number *

Phone Type

Standard telephone device Videophone [VP] Text-telephone device [TTD]

Academic Information

Is academic credit available for internships?

Yes

No

Relevant if you are currently enrolled in College/University.

College or University: *

Year in School *

Graduation Date *

GPA *

Major *

Activities/Honors *

Applicable Skills

List specific issues or areas of interest to you *

Have you served a prior internship in Washington D.C. or in a district office? If yes, with whom? *

Additional Information

Desired Location(s) *

District Office Washington DC Office District Office and Washington DC Office

Desired Session(s) *

Fall Spring Summer Fall, Spring, Summer

Date of Birth

Names and Email Addresses of Three References *

How would you describe your current political philosophy? *

What would you like to gain from this internship? Both professionally and personally. *

Do you have any ties to Michigan’s Tenth Congressional District or any Congressional staff? Please describe. *

Please use this box to write a brief paragraph about yourself, including the reasons why you would like to intern in a congressional office *

Human Validation