Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Email * Date Available * Authorized to work in the US * Yes No What Position are you applying for? High School Intern College Intern Worked for the Hawaii State before? * Yes No Why do you want to work at the Capitol? * Previous Experience with Hawaii State High School * High School (from) * MM DD YYYY High School (to) * MM DD YYYY High School Diploma? * Yes No Extracurricular Activitys * Please list 3 Refrences (name, contact info, relationship) * Thank you!