You are on page 1of 1

Application for Summer Internship

Fill out this application and return to xshapiro@susanforct.com

Personal Information

First Name:
___________________________________________________________________________

Last Name:
___________________________________________________________________________

Email:
_______________________________________________________________________________

Street
Address:________________________________________________________________________

City:____________________________________________ State:__________
Zip:_______________

Education Information

High
School:___________________________________________________________________________

Grade:_________________________

College:
______________________________________________________________________________

Year:___________________________________
Major:______________________________________

Availability (Please describe your availability. Be sure to provide the dates you
would be available to intern with Susan Bysiewicz for Senate and the days of the
week you are able to work).

Why are you interested in an internship with Susan Bysiewicz for US


Senate?

Susan Bysiewicz for Connecticut

You might also like