Office of Republican
Congressman Charles Boustany
Internship
Application
The Details
Who: Upper
Division students of any major, enrolled in college, with at least a 3.0 GPA; preference
may be given to political science students and constituents from the Seventh Congressional
District.
What: A paid
internship of $1,500 per month with Republican Congressman Boustany’s DC office
for students who are interested in gaining hands-on experience in a
Congressional office. Students will be responsible for coordinating with the
congressman’s office for their own lodging and transportation.
Activities
in D.C.
o
Constituent
Correspondence
o
Capitol
o
Administrative
Work
o
Legislative
Research
o
Attend
Briefings and Hearings
o
General
Staff Assistance
When: Internships
are available for the Spring and Fall semesters. Internships in
Where:
Why: To
gain valuable experience while learning the inner-workings of a Congressional
office first-hand.
How: Return a completed application packet
to our
Office of
Congressman Charles Boustany
Internship Program
Name:
___________________________________ Date: __________________
Contact Information:
Permanent
Address: ____________________________________________________________________
____________________________________________________________________
Home
or Cell Phone: ____________________________________________________________________
E-Mail
Address: ____________________________________________________________________
Parents
Names: ____________________________________________________________________
Personal Information:
Name
of School: ________________________________________________________________________
Major: _________________________________ Minor: ___________________________________
Current
G.P.A. __________________________
Grade
Level: ( )Junior
( )Senior ( )Graduate
Please List Three
References (At least one should be Academic):
Name:
_________________________________
Relation to you: ______________________________
Address:
______________________________________________________________________________
Phone: _______________________________________________________________________________
Name:
_________________________________ Relation
to you: ______________________________
Address:
______________________________________________________________________________
Phone: _______________________________________________________________________________
Name:
_________________________________
Relation to you: _______________________________
Address:
______________________________________________________________________________
Phone: _______________________________________________________________________________
Which
internship period are you currently applying for?
( )
Fall ( )
Spring
Have
you ever been convicted of any crime or dishonorably discharged from military
service?
Yes__________ No__________
If
"yes", please explain below giving date, charge, disposition and any
other details that you feel are appropriate.
Please note that a conviction
record or dishonorable discharge will not necessarily be a bar to
employment. All relevant factors such as
seriousness/nature of the infraction, date of the conviction and rehabilitation
will be considered.
Have
you ever been discharged from any position for misconduct or unsatisfactory
service?
Yes__________ No__________
If
"yes", please explain.
Additional
Requirements:
- A cover letter explaining your interest in an internship with the Office of Congressman Charles Boustany
- A professional resume
- An official transcript
- An essay explaining your qualifications for the internship and the ways it will help you in the future.
- A writing sample/research paper from a prior 300/400 level class.
- Return all materials to Dr. Ryan Teten, Mouton 119
AUTHORIZATION AND RELEASE
IT
IS MY UNDERSTANDING THAT THE Office of Charles Boustany MAY
MAKE A THOROUGH INVESTIGATION OF MY ENTIRE WORK AND PERSONAL HISTORY AND MAY
VERIFY ALL DATA GIVEN IN MY APPLICATION FOR EMPLOYMENT, RELATED PAPERS, OR ORAL
INTERVIEWS. I AUTHORIZE SUCH
INVESTIGATION AND THE GIVING AND RECEIVING OF ANY INFORMATION REQUESTED BY
THE Office
of Charles Boustany. I ALSO
RELEASE FROM LIABILITY ANY PERSON GIVING OR RECEIVING SUCH INFORMATION.
I
HAVE READ AND UNDERSTAND THE ABOVE AUTHORIZATION AND RELEASE.
Signature
of Applicant_________________________________ Date__________________
CERTIFICATION AND AGREEMENT
I
DECLARE AND CERTIFY THAT THE INFORMATION PROVIDED BY ME IS COMPLETE AND TRUE TO
THE BEST OF MY KNOWLEDGE. I AM AWARE
THAT ANY MISREPRESENTATION OR OMISSION MAY PRECLUDE AN EMPLOYMENT OFFER, MAY
RESULT IN WITHDRAWAL OF AN EMPLOYMENT OFFER OR CAUSE IMMEDIATE DISMISSAL FROM
EMPLOYMENT.
I
UNDERSTAND AND ACKNOWLEDGE THAT EMPLOYMENT WITH THE OFFICE OF Congressman Boustany IS AT-WILL AND THE EMPLOYMENT
RELATIONSHIP MAY BE TERMINATED BY EITHER THE
OFFICE OF Congressman Boustany
OR THE UNDERSIGNED AT ANY TIME, WITH OR WITHOUT NOTICE AND WITH OR WITHOUT
CAUSE. I ALSO UNDERSTAND AND ACKNOWLEDGE
THAT THE Congressman’s Office MAY UNILATERALLY CHANGE, REVISE ITS
POLICIES, PRACTICES OR BENEFITS AND SUCH CHANGES MAY INCLUDE REDUCTION IN
BENEFITS. MOREOVER, I UNDERSTAND AND
ACKNOWLEDGE THAT REGARDLESS OF THE CONTENTS OF EMPLOYEE HANDBOOKS, PERSONNEL
MANUALS, BENEFIT PLANS, POLICY STATEMENTS, AND THE LIKE AS THEY MAY EXIST FROM
TIME-TO-TIME, OR OTHER EMPLOYMENT PRACTICES, SHALL NOT SERVE TO CREATE AN
ACTUAL OR IMPLIED CONTRACT OF EMPLOYMENT, OR TO CONFER ANY RIGHT TO REMAIN AN
EMPLOYEE OF THE Congressman’s Office, OR OTHERWISE TO CHANGE IN ANY RESPECT
THE EMPLOYMENT AT-WILL RELATIONSHIP BETWEEN THE
OFFICE OF Congressman Boustany
AND THE UNDERSIGNED. I FURTHER
UNDERSTAND AND ACKNOWLEDGE THAT THE EMPLOYMENT-AT-WILL RELATIONSHIP CANNOT BE
ALTERED EXCEPT BY A WRITTEN INSTRUMENT SIGNED BY Congressman Boustany.
I AM AWARE THAT, AS A CONDITION OF EMPLOYMENT, IF EMPLOYMENT IS OFFERED,
I MUST BE AUTHORIZED TO WORK IN THE
I
HAVE READ, UNDERSTAND AND AGREE WITH THE ABOVE.
Signature
of Applicant__________________________________Date________________________
INTERN AGREEMENT - ENROLLED IN DEGREE
PROGRAM
The
Office of Representative Boustany provides a structured educational opportunity
for interns through exposure to the legislative processes of the United States
Congress. In compliance with the
mandates of the Congressional Accountability Act[1] and the
standards set forth in the House Ethics Manual[2], this
document signifies the agreement between the Office of Representative Boustany
and __________ that this internship is primarily for the educational benefit of
___________ and any services provided by the intern are merely incidental to
the educational program.
____________
is currently enrolled in a degree program at an educational institution and
will receive academic credit for the completion of this internship.
This
document does not constitute a contract of employment and should in no way be
construed as such. The intern
understands that s/he is an intern-at-will and his/her internship may be
terminated at any time with or without notice.
Additionally, the intern is able to terminate this relationship at any
time.
The
internship will commence on September 1, 2009.
__________
represents that s/he presently does not work for any special interest group and
will not convey anything of value that could be construed as an undue advantage
to any special interest group during the course of his/her internship.
This
agreement describes the general educational parameters of the internship. Signing this agreement is not intended to
affect the rights, responsibilities and obligations of the Member Office and/or
the Intern under any other applicable law, rule or regulation.
________________________________ __________________
Intern Date
________________________________ __________________
Chief of Staff Date
________________________________ __________________
Guardian (if Intern is under Date
the age of majority)