Employment Application

All fields are required to complete the application.
Your information will not be provided to any third parties.

First Name

Middle Initial Optional

Last Name

Gender Optional (Please select) Male Female Decline

Current Mailing Address

Street

City

State (Please select) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

Email

Alternate e-mail address Optional

Current phone number

Permanent Mailing Address

If different from current mailing address

Street Optional

City Optional

State Optional (Please select) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Optional

Education

College Level (Please select) Undergraduate Graduate

Expected graduation date (Please select) 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Academic major

Academic minor Optional

GPA in major Optional

GPA overall

U.S. citizenship (Please select) Yes No

Current School or Alma Mater

References

First Reference

First Name

Last Name

Title

Organization

E-mail

Phone

Relationship

Second Reference

First Name

Last Name

Title

Organization

E-mail

Phone

Relationship

Essays

Answers to the following questions (Please answer each in 250 words or less):

Why do you want to work as a Fellow at the Partnership for Public Service and what makes you qualified for this position?

What skills do you hope to gain while you are here? How do you envision using these skills in the future?

Why are you interested in working on the Education and Outreach Fellowship - Spring 2010 team?

What hours and days are you available to work?

How did you hear about the Public Service Fellows Program? Check all that apply.

School Listserv	Career Center's Online Job Posting
Career Fair	Research/Web Surfing
Facebook	idealist.org
makingthedifference.org	ourpublicservice.org
Staff/Faculty Member	Partnership Staff
Friend	Other

File Upload

We accept .pdf, .doc, .docx and .rtf files up to 1Mb

Resume

Unofficial Transcript Optional
You may also fax a copy to Public Service Fellows Program at 202 775-8885