First Name:
Last Name:

Home Address:
Address:
City:
State:
Zip:
College Address:
Address:
City:
State:
Zip:

Phone:
Email:

High School Name:
Graduation Year:
GPA:

For College Students Only:
College or University:
Major/Minor:
Expected Graduation Date:
GPA:

I am interested in (check all that apply):

Full time internship (>30 hours/week)
Part time internship (<30 hours/week)
Job shadowing experience (one week or less)
Clubs, activities, hobbies, and interests including political, legislative, or government-related background and interests if applicable.

Intern applicants, please continue with the following required information:

Please send a resume, unofficial transcripts and two references to our office at the following address:
Senator Jeff Smith
Intern Application Information
State Capitol Building, Room 425
Jefferson City, MO 65101

Please give a description of the course for which you will receive credit:

Which intern position are you applying for? District Aide Capitol Aide Community Service Fair Research

What days are you available?
How many hours can you be in Jefferson City?
Is there a final project for your course?
Why would you like to serve as a legislative intern to Senator Jeff Smith?