> **Congressman Zach Wamp**
>
> **3rd District, Tennessee**
>
> **INTERNSHIP APPLICATION**

**Please E-mail your completed information to:**

**Chattanooga -- <kd.becton@mail.house.gov>**

**Oak Ridge <gina.broome@mail.house.gov>**

**Washington -- <mlm.meyer@mail.house.gov>**

**NAME**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
**S.S.#**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Are you over 18 years of age:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Present**
**address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
State:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **Zip Code:**\_\_\_\_\_\_

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

**Parents'
names:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Permanent (home)
address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Zip
Code:\_\_\_\_\_\_\_\_**

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

**High
School:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
**G.P.A.**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**College:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
**G.P.A.**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Major/Minor:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
**Year in School:**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Will you receive credit for this internship?**\_\_\_\_\_\_\_\_\_\_\_

**Name of Intern
Coordinator**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**\_\_Phone\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**DATES AVAILABLE TO START & END
INTERNSHIP**:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**DAYS & TIMES OF THE WEEK AVAILABLE FOR INTERNSHIP:**
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**Please list below your computer knowledge/skills:**

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**List three of your favorite books:**

1.)

2.)

3.)

Below are a number of organizations, people, and publications involved
in public policy. For those you recognize, place: A **plus (+) i**n
front of those you agree with on most issues, a **minus (-)** in from of
those you disagree with on most issues, a **zero (0)** in front of those
you know, but have no strong feelings about, and leave **BLANK** those
you do not know.

  ----------------------- ----------------------- -----------------------
  \_\_\_ Act Up           \_\_\_ American Civil   \_\_\_ National
                          Liberties Union         Organization of Women

  \_\_\_ Common Cause     \_\_\_ National         \_\_\_ National Right
                          Education Assoc         to Work Committee

  \_\_\_ World Bank       \_\_\_ CATO Institution \_\_\_ Rev. Billy
                                                  Graham

  \_\_\_ Brookings        \_\_\_ Pat Buchanan     \_\_\_ National Rifle
  Institution                                     Association

  \_\_\_ English First    \_\_\_ Empower America  \_\_\_ Sierra Club

  \_\_\_ Heritage         \_\_\_ AFL-CIO          \_\_\_ Jesse Jackson
  Foundation                                      

  \_\_\_ Americans for    \_\_\_ Pope John Paul   \_\_\_ Margaret
  Democratic Action       II                      Thatcher

  \_\_\_ U.S. Chamber of  \_\_\_ Rush Limbaugh    \_\_\_ Boris Yeltsin
  Commerce                                        

  \_\_\_ Greenpeace       \_\_\_ NATO             \_\_\_ The United
                                                  Nations

  \_\_\_ Milton Friedman  \_\_\_ OSHA             \_\_\_ Amnesty
                                                  International

  \_\_\_ National Review  \_\_\_ Phyliss          \_\_\_ Family Research
  Magazine                Schlafly                Council
  ----------------------- ----------------------- -----------------------

**List three (3) persons historical or current that you most admire:**

1.)

2.)

3.)

 

**SHORT ANSWER QUESTIONS:**

Please answer the following questions in the space provided below:

**1.) List the names of any campus organizations to which you belong,
the positions you have held in each, if any:**

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**2.) List the major non-campus, civic, social, or political activities
in which you have participate in the last five years. What do you
consider to be your most significant contribution to these
organizations?**

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**3.) Describe what you enjoy doing in your leisure time?**

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**4.) Describe any jobs you have held over the last five years and how
these experiences would prepare you to work in Congressman Wamp\'s
office:**

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**5.) Explain why you want to be an intern for Congressman Wamp. What do
you consider to be your major strengths and qualifications for the
program? What benefits do you feel are likely to result from your
participation?**

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**Please list three (3) references and include name, address and phone
number and your affiliation with that person:**

1.)
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2.)
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3.)
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** **

**(Please enclose a copy of your resume)**