Skip to main content
Google Tag Manager
Representing the communities of Santa Ana, Anaheim, Garden Grove, and Orange
Toggle navigation
Contact Tom
Find my District
About
Biography
Staff
Legislation
There Oughta Be A Law
2019 Legislative Highlights
2017-2018 Legislation
2015-2016 Legislation
2013-2014 Legislation
Working for Our Community
Legislative Highlight: Distracted Driving
Legislative Highlight: Recovery Residences
Securing Funding for Our Community
Committees
Standing Committees
Joint Committees
Select Committees
District
District Map
Upcoming Events
Past Events
Community News
District Resources
2019 Women of the Year
2019 Veteran of the Year
News Room
Press Releases
News Articles
Photo Gallery
Daly Update
Resources
COVID-19 Information and Resources
OC Vote Centers
Census 2020
REAL ID
Veterans Resources
Senior Resources
Student Resources
Financial Resources
Small Business Resources
Internship Application
Holiday Volunteer and Donation Opportunities
Contact Tom
Find my District
Search form
Search
Home
/
Internship Application
Internship Application
First Name
*
MI
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip
*
Primary Phone
*
Secondary Phone
Email Address
*
Which office are you applying for?
*
Capitol
District
School/College/University
*
Expected Graduation Date
Major/Area of Study
Ideal amount of hours per week
Availability
Start Date of Availability
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2018
2019
2020
2021
2022
Year
End Date of Availability
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2018
2019
2020
2021
2022
Year
Availability for each day of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Availability each day
Morning
Afternoon
Both
Personal Interests
What policy issues are you most interested in and why?
*
Why are you interested in working with this office?
*
List extracurricular activities, employment and/or volunteer work.
Attach Resume
Upload
Files must be less than
2 MB
.
Allowed file types:
txt rtf pdf
.
Leave this field blank
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
