Internship Application

First Name(*)

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Last Name(*)

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Phone(*)

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Extension

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Cell Phone

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Email Address(*)

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Locale(*)

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School/College/University(*)

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Grade/Year(*)

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Major/Area of Study

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Dates available(*)

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Ideal amount of hours per week(*)

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Personal Interests

What policy issues are you most interested in and why?(*)

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Why are you interested in working with this office?(*)

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List extracurricular activities, employment and/or volunteer work.

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Attach Resume

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Connect

Capitol Office:
State Capitol
P.O. Box 942849
Sacramento, CA 94249-0011
Tel: (916) 319-2011
Fax: (916) 319-2111

District Office:
1261 Travis Blvd., Ste. 110
Fairfield, CA 94533
Tel: (707) 399-3011
Fax: (707) 399-3030

District Office:
4703 Lone Tree Way
Antioch, CA 94531
Tel: (925) 778-5790
Fax: (925) 778-5446