Internship Application

	All fields are required.
Name (first last):
Home Address:
School Address:
Year in School:
Best Contact Phone Number:
Backup Phone Number:
Email:
Major area of study:
Activities in which you participate now or participated in the past year:
How many hours a week do you think you can commit?
Start Date:	(mm/dd)
End Date:	(mm/dd)
Are you able to work some evenings and weekends?	Yes
Are you able to work from Sept. through Nov. 7, 2008?	Yes
Will you be arranging academic credit for your work on the campaign?	Yes
Please refer to the "About Dan" and "On the Issues" sections of our website. There you will find information on Dan's background and his position on major issues. After reviewing these materials, please write a 100-200 word paragraph answering these 2 questions:
Why do you want to commit to electing Dan Seals to Congress?
How will you benefit from being a part of this campaign?
Please Provide 3 references: Convey to them that someone from the campaign will call them. First Reference:
Name:
Position:
Relationship to you:
Phone Number:
Second Reference:
Name:
Position:
Relationship to you:
Phone Number:
Third Reference:
Name:
Position:
Relationship to you:
Phone Number:

Paid for by Dan Seals for Congress

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