ANIP APPLICATION FORM

AUSTRALIAN NATIONAL INTERNSHIPS PROGRAM

Applications for Semester 2 2010 close 30 April 2010

Please Note: Federal Elections are due in 2010 and this may limit available placements in Parliament House

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To apply to the Australian National Internships Program you need to complete the ANIP enrolment form (you can do this electronically). Other documentation is also required. Please note that the commencement dates may vary.

Personal Details

Name:

Date of Birth:

Home Address:

Telephone Number:

Term Address:

Telephone Number:

Email Address:

Academic Details

Home University:

Undergraduate Graduate

What degree are you studying?

Preferred Course

Choose one of the following:

Undergraduate:

Internship A (ANIP3004) (18 units) Not available 2010

Internship B (ANIP3005) (12 units)

Internship C (ANIP3006) (18 units)

Graduate:

Internship A (ANIP6504) (18 units) Not available 2010

Internship B (ANIP6505) (12 units)

Internship C (ANIP6506) (18 units)

Preferred Semester (select one)

Semester 1 2010 (Applications are closed)

Semester 2 2010 (beginning July 2010)

Research Interests

To assist us in considering suitable placements please list four research areas in priority order:

1

2.

3.

4.

Placement Preferences

Please do not initiate your own placement. This can only be done by ANIP after you have been accepted.

Number in Order of Preference (4 preferences only will be considered )

Commonwealth Parliament

(any specific member of Parliament or Committee?)

Australian Public Service

(any preferred Department?)

ACT Legislative Assembly

(any specific member of the Assembly or Committee?)

ACT Public Service

(any preferred Department?)

Other Organisation

(please specify)

How did you hear about us?

University Friend Previous Intern Web

Other (please specify)

 

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