Please either fax (202-224-1235) or mail this application to:

Craig Cheney
Adminstrative Director
U.S. Senate Republican Policy Committee
347 Russell Senate Office Building
Washington, DC 20510

Internship Program: Application for Admission

Personal Information

Name___________________________________________________ (Last, First, Middle)

Social Security Number ______ - ____ - ______ Birth Date ____ / ____ / ____

Current Residence:

________________________________________________________ (Street)

________________________________________________________ (City, State/Zip, Code)

Effective Until ____ / ____ / ____ Telephone (_____) ______-_______

Permanent Residence: (if different from current residence)

________________________________________________________ (Street)

________________________________________________________ (City, State/Zip, Code)

Effective Until ____ / ____ / ____ Telephone (_____)______-_______

Semester:

Internships are available for the Spring, Summer, and Fall semesters. Please specify which semester you are interested in and give a brief schedule of dates you will be available.

Semester:____________ Dates:__________ -to- ___________

Application Deadline:

Spring semester, November 30; Summer term, March 15; and Fall semester, July 1. Please submit applications by the deadlines listed above. The above dates are subject to change without notice. To assure consideration of your application, please apply early!

Registered Party Affiliation: [ ] Republican [ ] Democrat

How did you first hear about the Republican Policy Committee?

[ ] Article in magazine/newspaper

[ ] Previous internship

[ ] Campus liaison

[ ] Friend or RPC staff member

[ ] Received RPC publication by mail

[ ] Other _______________________

Academic Information:

Status during internship [ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior [ ] Graduate

Expected date of graduation _________________________________________

College or University _______________________________________________

City, State _______________________________________________________

Major __________________________________________________________

Grade Point Average ______

Other Information:

Extracurricular and community activities:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Honors and Awards:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Reference Information

Reference's Name Phone Number Relationship

1)________________________ __________________ _______________

2)________________________ __________________ _______________

3)________________________ __________________ _______________

Date Application Completed: _____________

_______________________________________________________________________________

Reminder

Your application will NOT be considered unless we receive ALL of the following prior to the deadline dates listed on the first page of this application.

1.) A current copy of your resume

2.) A writing sample of less than 5 pages

3.) A letter of interest listing the reasons why you wish to intern at the RPC

4.) This application.