Multimedia Internship Application

Applicant Name*

Current Address*

Current City*

State*

Zip

Permanent Address

City

State

Zip

Phone*

Email*

Political Affiliation*

Democrat

Republican

Other

Undergraduate College/University*

Major*

Minor

GPA*

Graduation Date

College activities, honors and awards:

Are you legally authorized to work in the United States on a full-time basis?*

Yes

Will you now or in the future require sponsorship for employment visa status?*

Yes

Have you applied for any other legislative internships? (optional)

Indiana House Republicans

Indiana Senate/House Democrats

Government/Political Experience

Why do you want to intern with the Indiana Senate?

List Communications Classes

Work Experience

Position*

Employer*

Responsibilities*

Immediate Supervisor*

Supervisor’s Contact Number*

Supervisor’s Contact Email*

References

Name*

Phone Number*

Email*

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

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