First Name:          Last Name:  
Major:                  Overall GPA (ex: 3.75):  
Year you will graduate (ex: 2011):   
Are you a first generation college student?    --None-- Yes No

Email:               
Phone:              
Gender:             --None-- Female Male Transgender Other
Ethnic Identity:   --None-- American Indian/Alaskan Native Bi-Ethnic or Multi-ethnic African/African-American Asian/Asian-American Chican@/Latin@ Caucasian Pacific Islander Other Decline to State
How did you hear about Cal in Local Government?  --None-- Cal Corps Website CalSO Cal Corps Staff Class Presentation Drop-in Email E-Newsletter Flyer Recruitment Fair Word of mouth Other Direct Referral

Please list your top three internship choices. 
1. --None-- City Manager's Office, City of Emeryville Community Relations: People's Park Community Relations: Community Relations Intern District 4, City of Berkeley District 7, City of Berkeley District 8, City of Berkeley Economic Development, City of Albany Environmental Resources, City of Albany Housing & Community Services, City of Berkeley Dept of Human Services, City of Oakland (Measure Y) Mayor's Office, City of Berkeley Neighborhood Services, City of Berkeley Police Review Commission, City of Berkeley Port of Oakland Public Commons Evaluator, City of Berkeley Youth Services, City of Berkeley
2. --None-- City Manager's Office, City of Emeryville Community Relations: People's Park Community Relations: Community Relations Intern District 4, City of Berkeley District 7, City of Berkeley District 8, City of Berkeley Economic Development, City of Albany Environmental Resources, City of Albany Housing & Community Services, City of Berkeley Dept of Human Services, City of Oakland (Measure Y) Mayor's Office, City of Berkeley Neighborhood Services, City of Berkeley Police Review Commission, City of Berkeley Port of Oakland Public Commons Evaluator, City of Berkeley Youth Services, City of Berkeley
3. --None-- City Manager's Office, City of Emeryville Community Relations: People's Park Community Relations: Community Relations Intern District 4, City of Berkeley District 7, City of Berkeley District 8, City of Berkeley Economic Development, City of Albany Environmental Resources, City of Albany Housing & Community Services, City of Berkeley Dept of Human Services, City of Oakland (Measure Y) Mayor's Office, City of Berkeley Neighborhood Services, City of Berkeley Police Review Commission, City of Berkeley Port of Oakland Public Commons Evaluator, City of Berkeley Youth Services, City of Berkeley

Please answer each of the following questions in no more than 200 words.
Question #1: Describe a social issue affecting the East Bay and why it is important to you.



Question #2: Given your prior professional, service and academic experiences, what can you offer the community as an intern?



Question#3: What do you hope to learn from participating in the Cal in Local Government program?
 

If selected as a Cal in Local Government intern, I am committed to completing the service hours and training requirements:

Please make sure you have fully answered each question and filled in every item before clicking submit. We look forward to reviewing your application!