Use the print button on your browser to print out the form below. Complete and mail the application form, resume, essay, and sealed recommendation to the India Abroad Center for Political Awareness (IACPA). Our Application Form Help Sheet can guide you in determining how to best answer the form. For other questions or further information, please contact the Center or check the FAQ page.

Part A: Biographical Data

Name: Last_________________________________First__________________________________ MI______

Social Security Number: ____________-____________-____________

Date of Birth: ___________/___________/____________ Age: ______________

Are you a United States Citizen (circle one)?

• Yes
• No

If no, what is your immigration status? ______________________________________

Father's Name:_______________________________ Occupation: _______________

Mother's Name:______________________________ Occupation: _______________

Permanent Address: ______________________________________________________

City_________________________________ State_____________ Zip ____________

Telephone Number: (____________)________________________________________

Present Mailing Address: __________________________________________________

City_________________________________ State_____________ Zip ____________

Telephone Number: (____________)________________________________________

When IACPA mails notice of acceptance the week of Feb. 21, 2000, do you want it sent to (circle one):

• Permanent Mailing Address
• Current Mailing Address

Electronic Mail Address: __________________________________________________

Undergraduate School: ___________________________________________________

City ___________________________________________ State ____________________

Class Standing (circle one):

• Freshman
• Sophomore
• Junior
• Senior

Major Field of Study: ____________________________________________

Minor Field of Study: ____________________________________________

Expected Graduation Date: _____/_____/______ Degree:_________ GPA:________

Part B: Public Policy Interest Areas / Political Affiliation

Would you describe yourself as (circle one):

• Democrat
• Independent / Other
• Reform
• Republican
• No Preference

In order of priority, please indicate from 1 to 3 your major areas of interest:

	Agriculture		Education		Health
	Business/Finance		Energy		Labor Relations
	Consumer Affairs		Environment		Media
	Courts/Criminal Justice		Foreign Affairs		Urban Affairs/Housing

Part C: Letter of Recommendation

Please give the following directions to someone who can assess your candidacy for the Washington Internship Program. The recommendation should be written on an official letterhead and be included with your application in a sealed envelope.

Please provide information on the applicant for whom you are submitting a recommendation. This information should include the capacity in which you know the applicant, the applicant's disposition and ability to work with others, leadership ability and potential, and any other information which will help establish a comprehensive view of the applicant. Please make this information available on your official letterhead and return to the applicant in a sealed envelope.

If you should have any questions or would like further information about our program, please contact our office at (202) 289-3654 or contact us via email at iacfpa

Part D: Resume

Please submit a current copy of your resume with your application. Your resume should highlight leadership positions, community service activities, and any public policy-oriented work or internships.

Part E: Essay

Please clearly print or type the following section on a separate sheet(s) of paper. Your full name, social security number, and date should be included on the top of each page. The narrative is required for the successful completion of each internship application. Please write an essay words) on one of the topics listed below.

• Why do you want to participate in this leadership program?
• Is the Indian American community fulfilling its potential? Why or why not? If not, what can be done?
• There are two schools of thought regarding the Indian American community and coalition-building. One says that coalitions should be formed whenever convenient. Another school says that Indian Americans must first unite their own house before reaching out to other communities? Which view do you agree with? Why?

Part F: IACPA Civil Rights Internship
In addition to the Congressional internships, IACPA is able to offer one internship to work in the IACPA national office. The intern will work on civil rights issues affecting the Indian American community. Responsibilities will include attending hearings and strategy meetings, tracking policy issues, and providing the community with background and updates. If you would like to be considered for this internship, please indicate below.

• I am interested in the IACPA Civil Rights Internship.

Part G: Advance Acceptance

• By checking this box, I hereby certify that if I am chosen by the Selection Committee to participate in the program, that I will accept the internship without the need for confirmation by the IACPA staff. (NOTE: DO NOT check this box unless you are 100% positive that you will accept the internship, if offered. By checking this box, the IACPA staff will immediately seek to place you in a Congressional office without confirming your acceptance. Checking this box and declining the internship may damage IACPA's relationship with Members of Congress and prevent IACPA from sponsoring other interns. Checking the box has no bearing on consideration of your application for the program.)

I hereby certify that all the information provided in this application is accurate and correct.

Signature: ______________________________________ Date: ___________________

Application Checklist:

• Completed full application form
• Sealed letter of reccomendation
• Essay
• Resume

You will be mailed a confirmation notice upon receipt of your application.

APPLICATION SCHEDULE:

• February 4, 2000 - Application Deadline
• February 21, 2000 - Announcement of Participants

Mail to:
India Abroad Center for Political Awareness
1275 K Street, NW / Suite 810
Washington, DC 20005
fax

Questions? Check our FAQ or contact the Center at or iacfpa.