The Brookings Institution
LEGIS Congressional Fellows Program 2017
1775 Massachusetts Avenue, NW Washington, DC 20036
Tel.: (202) 797-6319
Fax: (202) 797-6133
www.brookings.edu
CONGRESSIONAL INTEREST FORM
The following Member/Committee is seeking a LEGIS Congressional Fellow:
Period of Assignment:
Today’s Date:
Contact Person:
Title:
Phone Number:
Fax Number:
E-mail Address:
Room Number:
Description of Assignment(s) and Required Qualifications:
Additional Information:
You may mail or fax this form to Ian Dubin at the above address or fax number, or e-mail it to
idubin@brookings.edu.