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Page Program Application
Biographical Information:
Name:___________________________________ Social
Security Number:_____________________
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School
Address |
| Telephone:______________________ |
Telephone:______________________ |
| Email Address:___________________________________________________________________ |
Academics:
High School name: _________________________________________________________________
___________________________ ___________________________ __________________________
City State Graduation
Date
Honors: __________________________________________________________________________
_________________________________________________________________________________
Personal Statements:
(Please type answers on separate sheet and attach
to the back of this application)
- Please list and describe your extracurricular activities including
employment and/or volunteer experiences (beginning with the most
recent) and include their addresses and telephone numbers.
- Why do you want to be a page in the United States Senate?
- What do you hope to gain from this experience?
I am applying for the : ____ Fall ____ Spring ____Summer
Application deadlines: Spring - Nov. 1st; Summer
- March 1st; Fall - June 1st
Are you an American citizen? ___Yes ___No
Please enclose the following with this application or send under
separate cover. Applications will not be considered complete
until all of the following are received:
- Your current high school transcript
- Three letters of recommendation
- A copy of your birth certificate
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_______________________________________________ _________________
Signature Date |
Please return the completed materials to:
Brooke Oak, Page Program Coordinator
306 Hart Senate Office Building
Washington, D.C. 20510
202-224-4814 (phone)
202-228-0360 (fax)
brooke_oak@lugar.senate.gov
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