Bill Pascrell, Representing the 8th Congressional District of New Jersey

Internship Application

Name:	Prefix First Name MI Last Name Suffix (Jr., Sr.)
Social Security:
Date of Birth:
Address:
City:	State: NJ Zip:
Phone:
Email:
School Address:
City:	State: NJ Zip:
In which office would you prefer to intern? Paterson District Office Washington, D.C. Office Either
Dates available to participate in the program (be as specific as possible)
Current Year Freshman Sophomore Junior Senior High School Graduate

Washington, DC Office
2464 Rayburn House Office Building, Washington, D.C. 20515
Phone: (202) 225-5751 | Fax: (202) 225-5782

Paterson Office
Robert A. Roe Federal Building, 200 Federal Plaza, Suite 500, Paterson, NJ 07505
Phone: (973) 523-5152 | Fax: (973) 523-0637