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Internship Application for the office of State Senator Anthony H. Williams

Please type or write in ink legibly

Check the position for which you are applying:

 
_____ Operations _____ Communications _____Legislative _

____ Current GPA

Last Name _______________________ First Name _____________________Middle Initial ________
Mailing Address _________________________________________________________________
Email Address ___________________________________________________________________

 

Phone where you can be reached

Home ___ ___ ____ Work ___ ___ ____ Cell ___ ___ ____

 

Age ___ H.S. Senior ____ Col Fresh ____ Soph ____ Jr ____ Sen ____ Grad Student _____

 

Major/Minor ________________________________________________
School Attending _____________________________________________
Expected Graduation Date _____________________________________

List three relevant courses that have helped prepare you for this internship:

  1. __________________________________________________________
  2. __________________________________________________________
  3. __________________________________________________________

List up to three extracurricular activities in which you currently engage

  1. __________________________________________________________
  2. __________________________________________________________
  3. __________________________________________________________

List three favorite hobbies/ways to spend your leisure time:

  1. __________________________________________________________
  2. __________________________________________________________
  3. __________________________________________________________

 

In an attached two-page essay, please explain how this internship would assist your career path:

 

 

 

BEFORE MAILING, REVIEW YOUR PACKET FOR YOUR:

- Completed application form
- Copy of the most recent transcript
- Two-page essay, with your name on each page
- Résumé
- Sealed letter of reference from a current or past instructor, professor, or advisor
- School and home contact information, inclusive of phone numbers and email addresses

 

I have reviewed all material submitted and proclaim it to be truthful to the best of my knowledge

__________________________________________________________Date ________________

                                                                                Mail To

Dawn Chavous
Executive assistant
Office of state Sen. Anthony H. Williams
6630 Lindbergh Blvd.
Suite One
Philadelphia, PA 19142

 

© 2005 Senator Anthony Hardy Williams
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