Major(s): ______________________________________________________________________________________
Minor(s): _____________________________________________________________________________________
Cumulative GPA: ________________
Extracurricular and Community Activities, Military and Volunteer Service: _________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Office Information:
During which term do you wish to serve as an intern? (You may list more than one, but indicate priority and year)
Year ______ Fall ______ Spring ______ Summer I ______ Summer II ______
Earliest date you would be available: _______________________________________________________________
Last date you would be available: __________________________________________________________________
Would you be available full time (9am – 6pm)? Yes _____ No ______
Are you interested in interning in one of our Iowa offices? Yes _____ No _____
Please rank your office preference: Washington, D.C. _____ Des Moines _____ Davenport _____
Cedar Rapids _____ Sioux City _____ Waterloo _____ Council Bluffs _____
Will you be seeking college credit for your internship? Yes _____ No _____ If so, please attach a brief description of
your program’s requirements.
Personal Summary:
(Answer on a separate sheet of paper)
1) What are your professional goals following graduation?
2) What do you hope to gain from an internship in Senator Grassley’s office?
3) What could you contribute to the office as an intern?
4) What current issues are you interested in and why?
5) Have you ever served as an intern elsewhere? (If so, give details) Yes _____ No _____
Email or fax packet to:
Intern Coordinator
Intern_applications@grassley.senate.gov
(202) 224-5136
If you have questions, please contact our office at (202) 224-3744
Incomplete applications will not be considered.
