Job Bank Registration Form

Required fields are marked with an asterisk(*).

First:*  MI: Last:* Home State(s):
(Use CTRL Key to select more than one)
Street:*
City:*  State:* Zip:*
E-mail:*
Home Phone:
Work Phone:
How did you learn of the Job Bank:

 EDUCATION:
Type GPA Major Year Institution

 INTERESTS: (You may indicate more than one.)
Academic Posts (Admin. or Faculty) Lobbying Groups Political Organizations
Civil Service Positions Media Organizations Trade Associations
Congressional Offices Non-Profits/Think Tanks Other:
Faith-based Organizations: (If interested, indicate religious affiliation--optional):


 POSITION(S) For which qualified: (You may select more than one.)
Chief of Staff/AA Legislative Director Speechwriter
Attorney/Legal Counsel Legislative Assistant Press/Media Liaison
Committee (Prof. Staff) Legislative Correspondent Congressional Liaison
Policy Analyst Staff Assistant Research Assistant
Executive Assistant Development/Fund-raising Writer/Editor
Scheduler Executive Director Programmer/Systems Admin.
Office Manager Accountant Web-developer/Graphic Designer
Management Experience?: YES NO
Size of staff supervised?: 1-2 3-10 11-20 21-100 100+
Size of Budget: $0-250,000 $250,000-500,000 $500,000-1 million $1 million +

 YOUR WORK EXPERIENCE AND SKILLS:
Campaign Experience - Paid Capitol Hill Experience (Years? )
Campaign Experience - Volunteer State Government Experience
Fundraising Experience Public Relations Experience
Event Planning Experience Marketing Experience
Press Experience Lobbying Experience
Investigative/Prosecutorial Experience Personnel Experience
Statistics Experience Research Experience (not including college)
Polling/Survey Research Experience Web-design Experience
Direct Mail Experience Litigation Experience
CPA Video/Multimedia Production Experience
Computer Experience: None Novice Intermediate Advanced
Are you a published writer? Yes No
Do you have Security Clearance? Yes No If yes, level:
Do you speak a language other than English? Yes No If yes, list language(s):
MINIMUM SALARY REQUIREMENT: $
Years of work experience (not including college/part-time/graduate school tenures):*

 WOULD YOU CONSIDER:
Working in the DC area? Yes No
Relocating to another state? Yes No
If so, where? (Use CTRL Key to select more than one)
Project/contractual work? Yes No
Part-time/temporary work? Yes No
A job paying hourly wages? Yes No
Clerical/Data-entry positions? Yes No If so, what is your typing speed? (WPM)
Internships? Yes No Paid Unpaid
What date will you be available to start a new job:* ,

 ISSUE EXPERIENCE AND INTEREST:
Issue Experience? Years of Experience
1) Yes No
2) Yes No
3) Yes No
4) Yes No
5) Yes No
Other: Yes No

 YOUR POLITICAL PHILOSOPHY:
Select the option that best describes your political philosophy:*

Please provide a short Writing Sample that explains your choice of ideology. (150-250 words)

 ISSUES QUESTIONNAIRE:
The following questions are designed to assist us in placing you with an office or organization with which you are most compatible. It is not mandatory that you fill these out, but they greatly enhance our ability to more effectively circulate your resume. If you tend to agree with a statement, check yes. If you tend to disagree with the statement, check no.

Foreign and Defense Policy
Answer
Comments (only when necessary)
Free trade benefits U.S. consumers.*
The U.N. should not have authority over the citizens or public policies of sovereign nations.*
The U.S. has the right to use force to protect its national interests.*

Social Policy
The education industry should be opened to increased competition through vouchers or tax credits for private schools.*
Judges should not make decisions based on their policy preferences.*
Union membership should be at the option of the employee, not a requirement for employment.*

Economic Policy
People should be able to invest a portion of their Social Security payments in a personal account.*
Federal spending is too high.*
The U.S. needs nationalized health care.*
The following are a number of organizations and people involved in public policy. Indicate your general agreement by choosing + and general disagreement by choosing -, or don't make a selection if you do not recognize a name or have no opinion.
+ - | Al Gore + - | National Education Association (NEA)
+ - | Ted Kennedy + - | National Organization of Women (NOW)
+ - | Planned Parenthood + - | George W. Bush
+ - | National Rifle Association (NRA) + - | Clarence Thomas
+ - | Sierra Club + - | James Dobson
+ - | CATO + - | Bill Bennett
+ - | American Israel Public Affairs Committee (AIPAC)

Name one living political leader whom you greatly admire:

Name one person who is a personal hero/most changed the course of history:

What single public policy issue would you most want to affect and why (in one paragraph):


If you experience any errors, please e-mail the error message to: jobbank@heritage.org