Congressional Aide Program Application Form - 2018 Page 2
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5Parent/Guardian’s Name
Parent/Guardian’s Name
Day Phone
Day Phone
Emergency Contact Name
Relationship
Day Phone
Evening Phone
Did you previously apply to be a Congressional Aide?
Yes
No
If yes, in what year?
Have you ever served as a Congressional Aide?
Yes
No
If yes, in what year?
If no, were you given a placement and then dropped?
Yes
No
If yes, in what year?
Email is the Council’s primary form of communication for this program. If you do not use email, please include a note to
let us know the best way to reach you.
Describe why you would like to be a Girl Scout Congressional Aide. Discuss what you can contribute to this
experience as a Girl Scout (e.g. - research/school-project knowledge). Include any skills you hope to practice
while you are on Capitol Hill. (500 words or less)
Describe your educational goals and how you plan to achieve them. How will Congressional Aide contribute to
your educational goals? (500 words or less)
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