Tags: address city state, city state zip, date of birth, extracurricular activities, gpa, harrisburg pa, home address, information university, internship, m o brien, school address, volunteer work, zip home phone,
The Speaker Jeanne H. Schmedlen
Office of the Speaker
Dennis M. O'Brien Suite B-8 Main Capitol
Internship Harrisburg, PA 17120-2020
Program (717) 705-1894
(717) 787-5201 FAX
jschmedl@pahousegop.com
APPLICATION
PLEASE TYPE OR PRINT LEGIBLY
I. Personal Information
Name: _____________________________ Date of Birth: ___/ ___/ _________
Home Address: __________________________________________________________
City: ________________________ State: ________ Zip: ______________________
Home Phone: _________________________ Work Phone: _____________________
School Address: _________________________________________________________
City: ________________________ State: ________ Zip: _____________________
School Phone: _______________________
Email: _____________________________
Extracurricular Activities/ Volunteer Work: _________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2
II. Academic Information
University: _____________________________________________________________
Major: ______________________________ Minor: ___________________________
Year: _______________________________ GPA: _________ (on a 4.0 scale)
Published Material (if applicable): __________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Academic Awards (include any Honor Society memberships): __________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
On-Campus Organizations (denote leadership positions where appropriate):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3
III. Professional/ Work Experience
List any Relevant Jobs Held in the Past Three Years (include the name of the office
or organization, its location, the name and contact information of a supervisor and a
brief description of your duties):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4
IV. Essay
In the space provided, answer one (1) of the following questions:
"What do you think is the most important role of the Speaker of the House?"
OR
"Research past Speakers of the Pennsylvania House, select one and describe why you
find him, or his tenure worthy of note."
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Attach a resume with a list of three (3) references