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Northwest Missouri State University


Internship Application

First Name:
Middle Name:
Last Name:
Local Address:
E-mail:
Local Phone Number:
Cell Phone Number:
Campus Activities:
Home Town:
State:
Political Preference: Democrat
Republican
No Preference
Other 
Year in school:
Major/Minor:
Current GPA:

Do you currently receive financial assistance or scholarships?
No   Yes

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)
Student Signature: