U. S. DEPARTMENT OF AGRICULTURE

2004 SUMMER INTERN PROGRAM

RESUME COVER SHEET

PLEASE SUBMIT A COPY OF THIS FORM WITH EACH RESUME/APPLICATION

Job Number:

Name: __________

Social Security Number: ________________________

Address: ________________________________  

Phone: (Home) ___________________________________________

(After April 15, 2003)

(Work) ____________________________________________

School:

Major: ______________________________________ 

Total Credits Earned: (Quarter) (Semester)

Classification: _______________________________

(College transcript must be attached - student copy accepted)

(Graduate Student, Senior, Junior, Sophomore, Freshman)

Number of Credits in Progress:

Expected Graduation Date: ______________________ 

Work Experience

1. Position title: _____________________________________________________________

Date (From/To): ___________________________________________________________________________ 

Employer's name: _________________________________________________________

Employer's address: ________________________________________________________________________ 

Supervisor's name and phone number: __________________________________________________________ 

2. Position title: _____________________________________________________________

Date (From/To): ____________________________________________________________________________ 

Employer's name: _________________________________________________________

Employer's address: __________________________________________________________________________ 

Supervisor's name and phone number: _____________________________________________________________ 

3. Position title: _____________________________________________________________          ____________   

Date (From/To): ______________________________________________________________________________ 

Employer's name: _________________________________________________________

Employer's address: ___________________________________________________________________________ 

Supervisor's name and phone number: _____________________________________________________________ 

REFERENCES WILL BE CONTACTED

General Information

Are you a U.S. citizen? No [ ] Yes [ ]

Do you claim veteran's preference? No [ ] Yes [ ] (You must attach your DD-214)

Signature: Date: ___________________

(Original signature is required for each resume cover sheet submitted)

Agency Use Only:

Date Received: Grade: Date Selected: # of Apps: