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Catharine Baker for Assembly

Internship Application
Basic Information:
Name: ______________________________

Phone: _____________________________

School: _____________________________

Year in School: _______________________

Transportation (Do you drive yourself?): ____________________________________________


Availability (Please specify months, days, & hours): ___________________________________
_____________________________________________________________________________
Qualifications (Please attach resume and additional pages if necessary):
Past work or campaign experience (If any): _________________________________________
______________________________________________________________________________
______________________________________________________________________________
Applicable skills: _______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Extracurricular involvements: _____________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please tell us more about why you are interested in an internship with the Campaign:
______________________________________________________________________________
______________________________________________________________________________
Please identify any references you may have:
______________________________________________________________________________

www.BakerforAssembly.com

~Baker for Assembly~

925.415.3288

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