Internship Application Form

The Kenneth L. Maddy Institute Legislative Intern Scholar Program
2017-2018 Application
.

Application Requirements:
❒ Completed Application: All sections must be completed and signed.
❒ Resume: Must be current and completed.
❒ Personal Statement: ONE page. Write a short biographical sketch. How would the legislative office benefit from having you in the office? What interest, experience, or background do you have in public policy or government affairs (school, work, volunteerism, etc.)?
❒ College Transcripts: Copies are acceptable. Your name must appear on the document. Official transcripts indicating expected graduation date and degree will be required.

If applicant is selected for an initial interview, the applicant MUST:

❒     Enroll into course to receive Academic Credit for internship in order to be considered for placement. All academic requirements need to be done prior to beginning of internship (Academic credit is granted through each academic department and graduate program. Applicants must contact their own school/academic department so advising staff can assist.) 
OR

❒     Enroll into an Independent Study program for at least one (1) unit in order to be considered for placement.  All academic requirements need to be done prior to beginning of internship. (Independent Study Policies vary per each academic department and graduate program. Applicants must contact their own school/academic department so advising staff can assist.)

Eligibility:

Must have a 3.0 overall GPA or higher;
Must be at least a Junior in standing (60 units completed) OR
Must be a Graduate student in standing during the semester of the internship.

All decisions of The Maddy Institute Scholarship Committee are final and confidential. Applications become the property of The Maddy Institute; and, if selected, maybe distributed to participating government offices. Applications that are incomplete or submitted after the deadline will not be considered. .

I. PERSONAL INFORMATION.

Last Name*

First Name*

Middle Initial

College*

Major*

Graduation Date

Student ID*

Address*

Home/Cell Ph.*

Work Ph.

Personal Email*

CSU/UC Email*

II. REFERENCES.

Please list at least 3 individuals who will serve as a reference. Include at least 1 faculty member and 1 current or former employer. Do not reference family members or friends. All fields must be filled. .

1.) Last Name*

First Name*

Address*

Phone Number.*

Email

Relation (faculty, employer, etc.)

2.) Last Name*

First Name*

Address*

Phone Number.*

Email

Relation (faculty, employer, etc.)

3.) Last Name*

First Name*

Address*

Phone Number.*

Email

Relation (faculty, employer, etc.)

III. Placement.

YOU MUST SIGN BELOW THIS SECTION FOR APPLICATION TO BE CONSIDER

If applicant is selected for an initial interview, the applicant MUST:

❒     Enroll into course to receive Academic Credit for internship in order to be considered for placement. All academic requirements need to be done prior to beginning of internship (Academic credit is granted through each academic department and graduate program. Applicants must contact their own school/academic department so advising staff can assist.) 
OR

❒     Enroll into an Independent Study program for at least one (1) unit in order to be considered for placement.  All academic requirements need to be done prior to beginning of internship. (Independent Study Policies vary per each academic department and graduate program. Applicants must contact their own school/academic department so advising staff can assist.)

All academic requirements must be completed prior to beginning the internship.

Signature of applicant (Date):

First Name*

Last Name*

Date*

Internship Location. Please mark all areas in which you are willing/applying to serve an internship..

YOU MUST SIGN ABOVE FOR APPLICATION TO BE CONSIDER

Spring - San Joaquin Valley (Fresno, Clovis, Merced, Modesto, etc.)Summer– San Joaquin Valley (Fresno, Clovis, Merced, Modesto, etc.)Summer - Sacramento, CASummer - Washington D.C.Fall– San Joaquin Valley (Fresno, Clovis, Merced, Modesto, etc.).

If applying for Summer– San Joaquin Valley, list the city you will be living in

Areas of Interest. Please mark any areas that interest you..

AgricultureAir QualityArmed ForcesBankingBudgetCommerceConservation.

DrugsEnergyEnvironmentFinanceForeign AffairsGlobal WarmingGlobalization.

Government ReformHealthHigher EducationHomeland SecurityHousingImmigration.

Indian AffairsJudiciaryK-12 EducationLaborLaw EnforcementMedicare/Medicaid.

Natural ResourcesPensionPublic AdvocacyRenewable EnergyScience & Technology.

Small BusinessSocial SecurityTelecommunicationsTerrorismTradeTransportation.

VeteransWater.

To complete the application you still need to submit via email to mjeans@csufresno.edu the following documents:
- Resume: Must be current and completed.
- Personal Statement: No longer than ONE page. Write a short biographical sketch. How would the
legislative office benefit from having you in the office? What interest, experience, or background
do you have in public policy or government affairs (school, work, volunteerism, etc.)?
- College Transcripts: Copies are acceptable. Your name must appear on the document. Official
transcripts indicating expected graduation date and degree will be required of all applicants selected for the program.
- Must submit proof of Enrollment Documents for the semester when internship will be done (copies are accepted, must have applicant information)

*By submitting this form, I certify that all of the statements contained in my application are true, complete, and correct to the best of my knowledge. I am prepared, in good faith, to fulfill all components of The Maddy Institute Intern Scholar Program..