In preparation to complete this application please make sure you have a cover letter and resume ready (.txt, .doc, .docx, .pdf, .rtf). You'd also need names and addresses of 3 references. General Information * indicates information that you need to provide. Your Information Prefix: * - Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbi First Name: * MI: Last Name: * Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Your Contact Information Street Address: * Street Address Continued: City: * State: * Zip Code: * Email: * Applicant's Telephone Telephone Number: * Phone Type: Standard voice telephoneVideophone [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. Applicant's Additional Information Date of Birth: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year199519961997199819992000200120022003 Desired Location(s): Missouri Office Permanent Address (if different) Street Address: Street Address Continued: City: State: ZIP Code: Skills applicable to internship 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? * Emergency Contact Information: Emergency Contact Name: * Emergency Phone Number: * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] Academic Information Schools attended, beginning with your current school: * Is academic credit available for internships? Yes No Relevant if you are currently enrolled in College/University. Year in School: * Graduation Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 GPA: * Major: * Names and Addresses of Three References: * Applicant's Cover Letter and Resume: Cover Letter: * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Resume: * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Writing Sample * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Your file size can not exceed 1MB. Documents must be the following file types: .doc, .docx, .pdf, .rtf, .txt Mac users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.