Response

INTERNSHIP APPLICATION FORM

Personal Information

First Name

Last Name

Parent/Gaurdian First and Last Name(s)

Address Line 1

Address Line 2

City

State

Zip

Phone

Date of Birth

Are you a North 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

Are you seeking academic credit for this internship? Yes
No

Internship Details

I am applying for Fall
Spring
Summer

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

Please attach the following documents to your application:
- Cover Letter
- Resume
- 2 Letters of Recommendation (1 professional, 1 personal)

Required

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If accepted as an intern, I 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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