Response

INTERNSHIP APPLICATION FORM

Personal Information

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Phone

Date of Birth

Are you a Carolina resident? Yes
No

Are you legally authorized to be in the United States? Yes
No

Education Information

College, University or High School

Major/Degrees

GPA

Date of Graduation

Languages spoken other than English

Does your school offer a formal internship program? Yes
No

Are credits available for an internship? Yes
No

How many credits?

Name of Advisor or Program Contact

Advisor/Program Contact Phone Number

Advisor/Program Contact Email

Internship Details

I am applying for Fall
Spring
Summer

What office are you looking to intern in? Washington, D.C.
Advance
Wilmington

For Summer Applicants please let us know approximately when you are available

Please list the days and times you are available

Please attach the following documents to your application:

- Cover Letter

- Resume
- 2 Letters of Recommendation

- Personal statement describing your interest in Senator Budd's internship program (1-page maximum, typed)

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If accepted as an intern, I understand and agree that this opportunity is provided as a paid internship. I further agree to abide by all rules and regulations set forth by the Office of Senator Ted Budd and the United States Senate.

Date

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