Intern Request Form, 2016 Legislative Session


Request Deadline: Friday, November 20, 2015



I would like to request a: (please check one) 
Part-Time Requests Only. I would prefer to have an Intern:(please check one) 







An internship is a mutually beneficial partnership involving the student, legislator, and legislative staff. By requesting an intern, and signing below, I agree to the following (all boxes must be checked for request to be processed):

   I will make myself available to mentor my intern throughout the legislative session.
   I am aware that I must meet with my intern within the first two weeks of the internship in order to discuss and document goals and       expectations, and again in early March for a mid-term evaluation.

   My staff is aware that I am requesting an intern and, in my absence, will be a resource for my intern to rely on for support.
   I have been provided with the Legislative Internship Program Policy & Procedure Guide and have familiarized myself with the contents.
   I understand that attendance requirements must be followed and my responsibilities there-of.


Note: A typed name will substitute for a handwritten signature

COMMITTEE ON LEGISLATIVE STAFF INTERNSHIPS
LEGISLATIVE OFFICE BUILDING, ROOM 5150
HARTFORD, CT 06106-1591

Phone: (860) 240-0520
Fax: (860) 240-0122
E-mail: Lisa.Roy@cga.ct.gov

 
 
 
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