Borst Fellowship Application

Applicant Name*

Current Address*

Current City*

State*

Zip*

Permanent Address

City

State

Zip

Email*

Phone*

Political Affiliation*

Democrat

Republican

Other

Undergraduate College/University

Major

Minor

GPA

Graduation Date

College activities, honors and awards:

Are you currently enrolled in the O’Neill School of Public and Environmental Affairs?*

Yes

Have you completed any of the following class courses?

Public Budgeting & Finance

Statistics

Government, Political, and Volunteer Experience

Why do you want to participate in the Borst Fellowship with the Indiana Senate?

Work Experience

Position

Employer

Responsibilities

Immediate Supervisor

Supervisor's Contact Number

Supervisor's Contact Email

Position

Employer

Responsibilities

Immediate Supervisor

Supervisor's Contact Email

References (one required)*

Name

Phone Number

Name

Phone Number

Name

Phone Number

If you are experiencing technical difficulties submitting your application please email SenateIT@iga.in.gov