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INTERNSHIP PROGRAM APPLICATION Congresswoman Nita M. Lowey 18th District New York U.S. House of Representatives 2365 Rayburn House Office Building Washington D.C. 20515 Ph 202 225-6506 or FAX 202 225-0546 To this form please attach a cover letter resume and two writing samples no more than two pages in length. Please email your application to NY18Internship mail*house. gov* TYPE OR PRINT CLEARLY IN INK Check one Fall 2012 deadline July 16 2012 Winter/Spring 2013 Summer I If you are seeking an internship as part of an educational program please specify any internship requirements Ex hours responsibilities duration. Due to a high volume of applicants especially during the summer months we are sometimes unable to accommodate strict requirements. PERSONAL INFORMATION Name Address City State Zip Permanent Address E-Mail Address Phone where you can be reached during the day EDUCATION Name of College or University Class Major/Minor G*P. A Expected date of graduation REFERENCES please provide at least one Company Title Phone Email In 300 words or less explain how your abilities employment and course work have prepared you to serve as an intern in Congresswoman Lowey s office as well as how this experience would further your career interests. Please email your application to NY18Internship mail*house. gov* TYPE OR PRINT CLEARLY IN INK Check one Fall 2012 deadline July 16 2012 Winter/Spring 2013 Summer I If you are seeking an internship as part of an educational program please specify any internship requirements Ex hours responsibilities duration. Due to a high volume of applicants especially during the summer months we are sometimes unable to accommodate strict requirements. Due to a high volume of applicants especially during the summer months we are sometimes unable to accommodate strict requirements. PERSONAL INFORMATION Name Address City State Zip Permanent Address E-Mail Address Phone where you can be reached during the day EDUCATION Name of College or University Class Major/Minor G*P. PERSONAL INFORMATION Name Address City State Zip Permanent Address E-Mail Address Phone where you can be reached during the day EDUCATION Name of College or University Class Major/Minor G*P. A Expected date of graduation REFERENCES please provide at least one Company Title Phone Email In 300 words or less explain how your abilities employment and course work have prepared you to serve as an intern in Congresswoman Lowey s office as well as how this experience would further your career interests. Please email your application to NY18Internship mail*house. gov* TYPE OR PRINT CLEARLY IN INK Check one Fall 2012 deadline July 16 2012 Winter/Spring 2013 Summer I If you are seeking an internship as part of an educational program please specify any internship requirements Ex hours responsibilities duration. Due to a high volume of applicants especially during the summer months we are sometimes unable to accommodate strict requirements. PERSONAL INFORMATION Name Address City State Zip Permanent Address E-Mail Address Phone where you can be reached during the day EDUCATION Name of College or University Class Major/Minor G*P.

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