Biographical Information

Full Name *

Gender *
MaleFemale
Birthdate *

Primary Phone *

Secondary Phone

Email Address *

Parents/Guardians *

Hometown*

Preferred Name*

Current Address

Address1*

Address2*

City

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code*

Address Current Until

Permanent Address

Address 1*

Address 2*

City*

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code*

Academic Information

High SchoolName of High School*

Graduation Year*

Grade Point Average*

CollegeName of College*

Year in School*

Major(s)*

Minor(s)*

Grade Point Average*

Do you plan to seek academic credit for this internship?

YesNo
AdvisorName

Phone

Email

References

Please list two (2) individuals who will be writing your letters of recommendation.Academic ReferenceName*

Title

Address

City

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code

Daytime Phone

Email

Relation To You*

Character ReferenceName*

Title

Address

City

State *
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code

Daytime Phone

Email

Relation To You*

Areas of Interest

Please indicate your top five areas of interest *

AgricultureBusinessDefenseEducationEnergyEnvironmentForeign RelationsHealth CareLabor RelationsPublic LandsTradeTransportation

Session Dates and Locations

Please state the session for which you are applying: *

Preference for internship location: *

Washington, DCRock SpringsCheyenneCasperSheridan

Short Essays

Please answer the following questions. Essays must be at least 300 words.
Choose one of your extra curricular activities and describe how it has prepared you for an internship in the office of Senator Barrasso. *

Teamwork is a necessity in our office to keep things going smoothly. What unique skills and experience can you bring as a team member? *

What do you plan to take away from this experience that fits your long-term goals? *

Additional Information

How did you hear about this internship opportunity?

Senator Barrasso's WebsiteNews PublicationAcademic ProgramProfessor/AdvisorCareer Center/FairStudent AssociationFriend/RelativeOther
If you heard about this opportunity from a specific person or program, let us know here:

I confirm that the above answers are true, accurate and complete to the best of my knowledge. I understand that any falsification in my answers will lead to the rejection of my application or dismissal from the program and I will not be allowed to re-apply. If selected, I hereby agree to abide by the rules and regulations for congressional employees and the office of Senator John Barrasso.

I Agree
Please remember to send your resume and two recommendation letters to my internship coordinator at internship@barrasso.senate.gov.