NIAF Congressional Fellowship APPLICATION STUDENT INFORMATION * How did you hear about NIAF and the Congressional Fellowship Program? * Availability: How many hours per week can you work? SELECT510152025303540 * First Name: * Last Name: * Gender: SELECTMaleFemale Please enter your primary address below: * Address: Address: * City: * State: * Zip: * Phone: * E-mail Address: * Date of Birth: MONTHJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember DAY12345678910111213141516171819202122232425262728293031 YEAR200120001999199819971996199519941993199219911990 ITALIAN HERITAGE INFORMATION * Father of Italian Descent (Y/N): SelectYesNo * Mother of Italian Descent (Y/N): SelectYesNo Regions where your ancestors are from: Enter more specific cities (optional): ACADEMIC INFORMATION * Name of School: * State: * Area of Study: * Expected Year of Graduation: * Overall GPA: * Activities/Honors: * Do you speak Italian? (Y/N) SelectYesNo If yes, what level? * Have you ever been to Italy? (Y/N) SelectYesNo If so, where? REFERENCES Reference 1 * Name: Job Title: Relationship to Applicant: Phone: Email: Reference 2 * Name: Job Title: Relationship to Applicant: Phone: Email: CONGRESSIONAL OFFICE PREFERENCES * What is your party affiliation? DemocratRepublicanIndependent - More Often Republican-leaningIndependent - No Dominant LeaningIndependent - More Often Democratic-leaningOther If other, what party? * Have you previously held an internship in a Congressional office? (Y/N) SelectYesNo If so, when and in which office? * Are you, or have you ever been, a constituent of one of the participating offices? (Y/N) SelectYesNo If yes, which office? Please list any other connection you have to a district or state represented by a participating office. (Leave this section blank if it does not apply to you) * Please provide your top two office placement choices: ESSAYS (maximum 500 words) * Why do you want to work in a Congressional office? * The NIAF Congressional Fellowship program aims to cultivate the next generation of Italian American political and community leaders. What does your Italian American heritage mean to you and in what way has it shaped your career goals? PLEASE EMAIL A RESUME TO firstname.lastname@example.org AFTER COMPLETING THIS APPLICATION Please note that NIAF cannot guarantee that Fellows will receive school credit for their fellowship. Fellows who are interested in receiving college credit should be in contact with their university career center and an academic advisor.