Internship Application Form Personal InformationName* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you at least 18 years old?*YesNoAre you available nights and weekends?*YesNoDates you are available:*Days and hours you are available:*Hours per week you would like to intern:*Do you have a valid California Driver's License and access to a car?*YesNoEducationDo you have a High School diploma or equivalent (GED or CA Proficiency)?*YesNoHigh School, College, University(Name and Location)MajorHighest Level Completed / DegreeTotal Units EarnedGPA Add Additional Education High School, College, University(Name and Location)MajorTotal Units EarnedGPA Add Additional Education High School, College, University(Name and Location)MajorTotal Units EarnedGPASkills, Awards, and Experience:Languages spoken fluently, other than English: Spanish Vietnamese Cantonese Mandarin Tagalog Other Other:Please list computer software that you are familiar with:*Please list volunteer work, jobs, and community involvement:*Please explain your interest in interning in a political office:*Please list any additional information you feel will be helpful in considering your application:CommentsThis field is for validation purposes and should be left unchanged.