REPRESENTING THE THIRD DISTRICT OF MISSISSIPPI
COMMITTED TO CREATING JOBS, DRIVING DOWN SPENDING AND SHRINKING THE SIZE OF THE FEDERAL GOVERNMENT.

Internship Form - Part 1

In preparation to complete this application, please make sure you have a cover letter, resume, and writing sample (.txt, .doc, .docx, .pdf, .rtf). In addition, you will need three letters of recommendation. Be sure to include the names and addresses of these three references.

General Information

Applicant's Contact Information
*
*
*
*
*
*
(Determine your ZIP+4)
*


Applicant's Telephone
*


Applicant's Additional Information
*
 

Where would you like to work (check all that apply): *

 

 
 

Permanent Address (if different)

(Determine your ZIP+4)


Emergency Contact Information:
*
*


Applicant's Cover Letter, Resume, and Writing Sample :
 
 
 

Your file size can not exceed 500KB. Documents must be the following file types: .doc, .docx, .pdf, .rtf, .txt

Macintosh users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list.

* indicates information that you need to provide.