2012 Internship Online Application
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Section 1. Personal Information
Last Name *
First Name *
Current Address (Street Name and Number) *
Apt Number
Phone *
City *
State *
Zip Code *
Permanent Address (if different)
Apt Number
Phone
City
State
Zip Code
Primary Email *
Secondary Email
Date of Birth *
Section 2. School Information:
School Name *
Phone (home) *
Phone (cell) *
Major(s) / Concentration(s) *
Minor(s)
Please select your academic year:
Section 3. Financial Need Summary:
Give a brief statement of your financial need.  List 2012 summer income sources, including internship stipends, if any.  Please provide a list of all loans, grants, scholarships and other sources of financial aid that you received for the 2011-2012 academic year.
Financial Need Summary Statement *
Section 4. Internship Placement Information:
Please indicate your preference in potential federal agency concentrations. Specific placement is not guaranteed. *
Required
Are you willing to relocate to Washington, DC for the summer? *
Are you willing to relocate to California, Oregon, Washington, or other locations for the summer?   *
If interested in placement at one of the regional offices, please indicate city/state(s).  You may indicate up to three locations: *
Section 5. Skills Placement Information:
Please indicate skills that you have developed. *
Required
Section 6. Resume & Academic Transcript(s):
Please email a copy of both your resume and academic transcript(s) to scholarships@capal.org.  Unofficial copies of your academic transcript are acceptable.
Section 7. Letters of Recommendation:
Please email one to three (1-3) letters of reference to scholarships@capal.org. At least one letter of reference from a professor is recommended.  If possible, please instruct your references to email their letter to scholarships@capal.org. They may also send a hard copy in an envelope with their signature across the seal to the following address:

CAPAL Scholarship Committee
P.O. Box 65073
Washington, DC 20035

Please note that hard copy letters of recommendation should be received by February 1, 2012 in order for a decision to be issued by April 1, 2012.  The application deadline is rolling after February 1, 2012, but early submission is encouraged.
Section 8. Feedback:
 How did you hear about the CAPAL Internships? *
Required
Section 9. Statement of Purpose:
Please provide a statement of purpose that answers two (2) of the following three (3) questions. The statement should be in the form of a single essay that addresses both prompts. Please limit your statement to 750 words or less.

1. What are your long-term career goals?  How will your summer internship experience advance those goals?
2. Describe your previous educational, community work, and internship experiences.  Please explain how these experiences have influenced your long-term career goals, and how you demonstrated leadership during those experiences.
3. How will you use the experiences and knowledge gained during your summer with a federal agency to better the APA community and your local community?
Statement of Purpose *
Section 10. Application Agreement:
Please read the following before signing this application, as your signature indicates your agreement with the following statements:

I acknowledge that I have read and understand all of the eligibility and application requirements, have completed the application truthfully, and consent to submitting this application electronically.  I understand that if I am selected as a CAPAL Intern, personally identifiable information including my name and school will be released to the public, such as through press releases and newsletter announcements.

Applications should be submitted by February 1, 2012 for early decision.
Applicant Signature *
Electronically Sign by entering your initials
Date *
Submit
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