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APPLY NOW

Congressional Seminar
June 18-24, 2011

 

Click Here to Download the 2010 Brochure

**You can fill out the online application below or alternatively mail in a hard copy of the application. To mail in a hard copy please print and fill out the application found on page 3 of the 2010 brochure and mail it to our office.

Please Note: Your application is not complete until the deposit of $150 or total tuition is paid and parental permission is given.

 

 
  Title: First Name:  Last Name: 

Age:     Male Female

Birth Date: 

E-mail: 

Home Address: 

City:    State:    Zip: 

Home Telephone:  Cell Telephone: 

Parents' Names: 

Office Telephone: 

Present Year in School: 

Approximate School Grade Average: 

School Name: 

School Address: 

City:    State:    Zip: 

Name and Department of high school teacher closest to your seminar subject: 

Title:   First Name:  Last Name: 

Department:

Your Member of Congress (U.S. House of Representatives): 
(Look it up: www.house.gov)



Where do you wish to receive further information?  

 

Please select desired seminar: 

  How did you learn of the Washington Workshops Seminar?

  
 
 
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