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Northwest Missouri State University

Internship Application

*First Name
Middle Name
*Last Name
Local Address
Cell Phone Number
Home Town
*Current GPA
 / 4.0
Home State

Political Preference
 Democrat   Republican   No Preference   
Are you involved in any campus 

 No    Yes
Do you currently receive financial 
assistance or scholarships?

 No    Yes
If yes, please specify:
If yes, please specify:
Please write a short essay stating why you would like to participate in this
Internship in Jefferson City and what you hope to gain from this experience.
Please include your public policy interests and career aspirations. 

(Minimum 500 Words)
To complete your application, you must submit a resume and two references
to before October 30, 2014.
*Student Signature: