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........................................................................................................................................................................................................................................................................ Updated - September 2018 Page 1 of 3
HOUSE o f REPRESENTATIVES S T A T E O F M I C H I G A N
A N D E R S O N H O U S E O F F I C E B U I L D I N G
PO BOX 30014, LANSING, MICHIGAN 48909-7514
TEL (517) 373-3069 FAX (517) 373-5816 HOUSE.MI.GOV
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Human Resources - Legislative Fellowship Program
Fellowship Application Form ........................................................................................................................................................................................................................................................................
APPLICATION INSTRUCTIONS - APPLICATIONS DUE BY 5:00PM ON FRIDAY, OCTOBER 5, 2018
Thank you for your interest in the Legislative Fellowship Program with the Michigan House of Representatives. Please download the following form and complete it to the best of your ability using a PDF reader such as Adobe Acrobat or Adobe Acrobat Reader (Mac users especially). Completed applications can be emailed to [email protected] and MUST include this form, a cover letter, resume, and current transcript (electronic or official transcript preferred).
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CONTACT INFORMATION
......................................................................................................................................
.......................................................................................................................................
................................................................... FULL NAME
PREFERRED EMAIL ADDRESS
CELL PHONE (XXX-XXX-XXXX)
......................................................................................................PERMANENT ADDRESS CITY STATE ZIP CODE
......................................................................................................TEMPORARY ADDRESS (ENTER DATE BELOW) CITY STATE ZIP CODE
........................................................................................................................................................................................................................................................................
ACADEMIC INFORMATION
1. ACADEMIC LEVEL AS OF JANUARY 2019:
A. COLLEGE SENIOR D. GRADUATE WITHIN 12 MONTHSB. GRADUATE STUDENT C. LAW STUDENT
......................................................................................................................................................................................................................... E. IF NONE OF THE ABOVE OPTIONS APPLY, PLEASE EXPLAIN BRIEFLY.
...................................................................................................... ........................................................................................................A. UNDERGRADUATE MAJOR(S) B. UNDERGRADUATE MINOR(S)
................................................................. ............. .....................
................................................................. .............. ....................
...................................................................................................... ........................................................................................................C. POSTGRADUATE MAJOR(S) D. POSTGRADUATE MINOR(S)
.......................................................................................................................................................................................................................E. ADDITIONAL CONCENTRATION(S) FOR UNDERGRADUATE OR POSTGRADUATE DEGREE(S)
................................................................... ALTERNATE PHONE (XXX-XXX-XXXX)
TEMPORARY ADDRESS VALID UNTIL THIS DATE (MM/DD/YYYY)..............................................
2. PROGRAM(S) OF STUDY:
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ACADEMIC INFORMATION (CONT.)
3.
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PREFERENCES AND INTERESTS
4. LEGISLATIVE FELLOWS ARE PLACED WITH PARTISAN OFFICES. TO ASSIST US WITH YOUR POTENTIAL PLACEMENT,PLEASE SELECT YOUR POLITICAL AFFILIATION OR PREFERENCE.
A. REPUBLICAN B. DEMOCRAT
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SCHEDULE / AVAILABILITY
FOR CURRENT STUDENTS ONLY: PENDING APPROVAL FROM YOUR UNIVERSITY OR ACADEMIC PROGRAM, WOULD YOU BE INTERESTED IN EARNING COURSE CREDIT FOR A FELLOWSHIP? (ADVISOR INFO ONLY REQUIRED IF SEEKING CREDIT.)
A. YES, AND I HAVE ALREADY COMMUNICATED WITH MY ADVISOR.
B. YES, BUT I HAVE NOT YET CONTACTED MY ADVISOR.
C. NO, I AM NOT INTERESTED AT PRESENT.
D. NO, MAXIMUM CREDIT PREVIOUSLY EARNED.
................................................................................ ...................................................................................... ..........................................ACADEMIC ADVISOR NAME EMAIL PHONE (XXX-XXX-XXXX)
................ ................ ................ .........................................ACADEMIC DEADLINE FOR COURSE CREDIT APPLICATION (MM/DD/YYYY)
MIN. # OF HOURS PER WEEK MIN. # OF WEEKS TOTAL # OF HOURS
MONDAYS: ...................... ...................... AND/OR ...................... ..................... OPEN
FROM TO FROM TO AVAILABILITY
TUESDAYS:
WEDNESDAYS:
THURSDAYS:
FRIDAYS:
I DO NOT HAVE MY CLASS / WORK SCHEDULE YET, BUT I WILL KNOW BY THIS DATE: ......................................... (MM/DD/YYYY)
...................... ...................... AND/OR ...................... ..................... OPEN
FROM TO FROM TO AVAILABILITY
...................... ...................... AND/OR ...................... ..................... OPEN
FROM TO FROM TO AVAILABILITY
...................... ...................... AND/OR ...................... ..................... OPEN
FROM TO FROM TO AVAILABILITY
...................... ...................... AND/OR ...................... ..................... OPEN
FROM TO FROM TO AVAILABILITY
6. LEGISLATIVE OFFICES OPERATE MONDAYS THROUGH FRIDAYS BETWEEN THE HOURS OF 9:00AM - 5:00PM. PLEASE LISTYOUR AVAILABLE START AND END TIMES TO THE RIGHT OF EACH DAY OR CHECK THE BOX AT THE FAR RIGHT TOINDICATE OPEN AVAILABILITY ON THAT DAY. PLEASE ALLOW FOR TRAVEL TIME OUTSIDE OF THESE HOURS.
5. SELECTED CANDIDATES MUST BE AVAILABLE FOR THE DURATION OF THE 16-WEEK TERM AS DEFINED BY THELEGISLATIVE FELLOWSHIP PROGRAM. ARE YOU AVAILABLE BEGINNING MONDAY, JANUARY 27TH AND ENDING ONFRIDAY, APRIL 26TH?
A. YES, I AM AVAILABLE FOR THE ENTIRE TERM. B. NO, I AM NOT AVAILABLE FOR THE ENTIRE TERM.
......................................................................................................................................................................................................................... C. IF YOU SELECTED "NO" ABOVE, PLEASE EXPLAIN BRIEFLY.
*APPLICANTS ARE RESPONSIBLE FOR SUBMITTING THEIR AVAILABILITY PRIOR TO THEPOSTING DEADLINE, OR THEY MAY NOT BE CONSIDERED.*
OR
OR
OR
OR
OR
(EX. 9:00AM) (EX. 1:00PM) (EX. 3:00PM) (EX. 5:00PM)(EX. 9AM-5PM)
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SCHEDULE / AVAILABILITY (CONT.)
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SOURCE / REFERRAL
10. HOW DID YOU HEAR ABOUT THIS OPPORTUNITY WITH THE MICHIGAN HOUSE OF REPRESENTATIVES?
B. COLLEGE JOB WEBSITE
D. COLLEGE CAREER SERVICES DEPARTMENT
F. COLLEGE ADVISOR OR FACULTY:
A. HOUSE WEBSITE
C. HOUSE HUMAN RESOURCES
E. STATE OF MI WEBSITE
........................................................................................................................................................................................................................................................................
11.
BY CHECKING THIS BOX AND SUBMITTING THIS APPLICATION, I AGREE THAT ALL INFORMATION CONTAINED WITHIN IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND RECOGNIZE THAT INCOMPLETE APPLICATIONS MAY NOT BE CONSIDERED.
PLEASE NOTE: DUE TO THE NUMBER OF APPLICATIONS ANTICIPATED, WE WILL ATTEMPT TO RESPOND TO EACH SUBMISSION WITHINWITHIN ONE WEEK.
7. INTERVIEWS WILL BE CONDUCTED IN MID-NOVEMBER. SELECTED APPLICANTS WILL BE CONTACTED IN EARLY NOVEMBER.
......................................................................................................................................................................................................................... C. IF YOU SELECTED "NO" ABOVE, PLEASE EXPLAIN BRIEFLY OR ENTER "SCHEDULE NOT YET KNOWN".
A. YES, I SHOULD BE AVAILABLE TO INTERVIEWIN PERSON, VIA PHONE, OR VIA SKYPE.
B. NO, I AM NOT AVAILABLE TO INTERVIEW ORDO NOT YET KNOW MY NOVEMBER SCHEDULE.
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OTHER OPPORTUNITIES
8. IF YOU ARE NOT SELECTED FOR A FELLOWSHIP, WOULD YOU BE INTERESTED IN APPLYING FOR A LEGISLATIVEINTERNSHIP?
A. YES, AN UNPAID / VOLUNTEER INTERNSHIP WOULD BE ACCEPTABLE.
B. YES, I AM ONLY INTERESTED IN A PAID INTERNSHIP. (FEW OPPORTUNITIES AVAILABLE.)
C. YES, EITHER PAID OR UNPAID WOULD BE ACCEPTABLE.
D. NO, I AM NOT INTERESTED AT THIS TIME.
9. DURING WHICH OF THE FOLLOWING SEMESTERS / SEASONS WOULD YOU BE AVAILABLE TO INTERN?
A. 2018 FALL (SEPTEMBER - DECEMBER) -- *SEE NOTE BELOW*
B. 2019 WINTER / SPRING (JANUARY - APRIL)
C. 2019 SUMMER (MAY - AUGUST)
10. LEGISLAITVE FELLOWSHIP PROGRAM APPLICANTS ARE WELCOME TO APPLY CONCURRENTLY FOR A 2018 FALLINTERNSHIP. PLEASE CONTACT HUMAN RESOURCES WITH QUESTIONS OR TO SUBMIT YOUR SEPARATE INTERNSHIPAPPLICATION FORM.*
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FINAL INSTRUCTIONS
PLEASE REVIEW YOUR APPLICATION PACKET CAREFULLY AND READ THE STATEMENT BELOW BEFORE SUBMITTING YOUR APPLICATION TO HOUSE HUMAN RESOURCES:
G. FAMILY OR FRIEND: .............................................................................
H. OTHER - PLEASE SPECIFY:
