> July 25, 2008

Dear Applicant:

We are now accepting applications for our internship program. I am
excited that you have decided to pursue an internship with our office. A
Congressional internship in Washington, D.C. is a valuable opportunity
to witness democracy in action.

To be eligible for this internship you must be a college student having
completed at least two years of college work. In addition to the
application form, the following items are required: a one page essay, a
resume, an official transcript from the college or university that you
attend, and two letters of recommendation that attest to your character
and positive work ethic. One of your recommendation letters must come
from a college professor.

Return the completed application (and all required documents) to:
**Office of Congressman John Boozman, Intern Application, 213 W. Monroe
St., Ste. K, Lowell, AR 72745**.

If you have any questions or need further information, please call
Shohrae Dejbakhsh at (202) 225-4301.

Sincerely,

John Boozman

Member of Congress

Congressman John Boozman

**U.S. House of Representative**

**1519 Longworth HOB**

**Washington, DC 20515**

# **Application for Internship**

Please type or print clearly. Complete each portion.

**Name:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Last) (First) (Middle)

**Date of Birth:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Mailing Address:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(City) (State, zip)

**Phone:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Email:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Intern position desired**: Summer Session 1\_\_\_\_\_ Summer Session
2\_\_\_\_\_ Either \_\_\_\_\_

(May 27-July 4) (July 7- August 15)

**Maximum Period of availability:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

### [SCHOOL INFORMATION]{.underline}

**High School Attended:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(City) (State)

**Graduation Date:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **HS
GPA:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**College/University Attending:**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(City) (State)

**Major:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
**Expected Graduation Date:** \_\_\_\_\_\_\_\_\_\_\_\_\_

**Please attach the following documents:**

-   Your Resume

-   An official transcript from the College/University you are attending

-   2 letters of recommendation

(Letters need to be signed with recommenders contact information and
sealed in separate envelopes.) One recommendation letter ***must*** come
from a teacher/professor.

-   Essay (as required on the following page)

Send all Materials to:

Congressman John Boozman

Intern Application

213 W. Monroe St., Ste. K

Lowell, AR 72745

You will be contacted for a telephone interview if you have been chosen
as a candidate for the position.

## 

## [ESSAY SECTION]{.underline}

-   **In your own words tell me why serving others is important.**

*Essay does not need to exceed one page. Please type.*