Congressional Aide Program Application Form - 2018 Page 3

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What skills do you possess that are relevant to this position (foreign language fluency, computer skills, etc.)?
2018 DATES
Number the weeks that you are available, with “1” as your first choice, “2” as your second choice, and so on. Mark only
the weeks that you are sure you will be available this summer. The more weeks you mark, the more likely you are to be
placed. If your availability changes, please email
immediately.
June 11-15
Choice #
July 9-13
Choice #
July 30- August 3 Choice #
June 18-22
Choice #
July 16-20 Choice #
August 6-10
Choice #
June 25-29
Choice #
July 23-27 Choice #
August 13-17
Choice #
The following questions are designed to help us in matching your interests and experience with a
congressional office. Your answers will not negatively affect our decision to place you.
Have you ever lived in another state?
Yes
No
If yes, which state(s)?
Do you have an Individualized Education Program (IEP) and/or are there any special accommodations that you require
which your congressional office should be aware of? (Question Optional)
Are you currently working on earning a Gold Award?
Yes
No
If you have submitted a Gold Award Project Proposal, what is your project topic?
Have you been accepted and committed to a college/university?
Yes
No
If yes, which one(s)?
Is there a congressional office which you would prefer NOT to work at? If so, list the office and provide an explanation.
The Council cannot guarantee placement or availability that meets your office preference. Please keep in mind
that Girl Scouts is a non-partisan organization.
While it is our intention to place all girls who are invited to an orientation, offices do occasionally drop out of
the program after girls are placed. If this happens, the Council will make every effort to find new placement for
dropped girls, however, no guarantees can be made.
I understand that while I am a Congressional Aide I must abide by the rules established by Girl Scouts Nation’s Capital
and my supervisor in the office to which I am assigned. I understand that I will not be allowed to participate in the
program unless I attend an orientation. I agree that the information provided has been provided by myself and I will
handle the application process on my own to the best of my ability.
Applicant’s Signature:
Date:
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