Name: ___________________________________________________________________
Last First MI
Permanent Address: _______________________________________________________
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Mailing Address(es): _______________________________________________________
(April - June, 2000) _______________________________________________________
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Phone Numbers: _______________________________________________________
Current/School Permanent/Home
Email: _____________________________________________________________
Institution: ________________________________ Major: _______________________
Class Standing: _____ Entering Junior _____ Entering Senior
Career Objectives/Goals: _________________________________________
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Academic Honors and Awards
Title: __________________________________ Dates: _____________________
Description: _____________________________________________________________
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Contact: _____________________________________________________________
Title: __________________________________ Dates: _____________________
Description: _____________________________________________________________
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Contact: _____________________________________________________________
Title: __________________________________ Dates: _____________________
Description: _____________________________________________________________
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Contact: _____________________________________________________________
Title: __________________________________ Dates: _____________________
Description: _____________________________________________________________
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Contact: _____________________________________________________________
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Please list three policy areas in which you would be interested in working over the summer (e.g. education, health, corrections and public safety, environment, transportation, economic development, or others) 1) ____________________________________________________________________________ 2) ____________________________________________________________________________ 3) ____________________________________________________________________________
On a separate piece of paper, please respond to the following two questions:
Discuss your interest in being a governor's Summer Intern. How does this program complement your personal goals and/or professional aspirations? (Please do not exceed 300 words.) Select a problem of interest to you within one of the three policy areas you have listed in the above section. Describe in 300 words or less what steps you would take to address and tackle this issue. Interns are responsible for their own transportation. Whenever possible, GSIP will give consideration to geographic preferences. Would you prefer to work in : Annapolis _________ Baltimore _________ Either _________ Completed application forms should be accompanied by: A current resume An official transcript Two letters of recommendation (in sealed envelopes with the writer's signature across the seal) Submit applications and materials to Dr. Richard Sanders, Office of Academic Advising, Merryman East by March 8, 2000.