UC Berkeley Washington Program

Online Application

Did you read the instructions first?

You can download this form as PDF format if you'd like to have a sample copy to work from while you complete the online form.

An asterisk ( * ) indicates a required field.

Personal Information
Mr. Ms.
Permanent Contact Information
Emergency Contact Information
*How many units will you have earned at UCB (excluding AP or transfer units) by the semester you want to go to DC?
*What is your GPA?
*Semester you want to be in DC: Fall 17 Spring 18 Fall 18 Spring 19 Fall 19 Spring 20 Fall 20
*Current class standing
Sophomore Junior Senior Graduating Sr.
*Semester/year you expect to graduate
*Your College at UCB
Are you receiving financial aid now? Yes No
Please note: You do not need to be a US Citizen to participate in the UCB Washington Program.
US Citizenship is required for some internships, however.
US Citizen? Yes No
if NO what is your immigration status?
Perm. resident F-1 Student J-1 Student H-1B Temp. work Other
Do you have dual citizenship? Yes No
Current Courses
Please list the courses you are taking this semester
*Course title *Dept., Number
Upper Division Courses
Please list upper-division courses you have taken at UC Berkeley that will prepare you for the research and internship you propose
*Course title *Dept., Number *Instructor
*Please list your area(s) of interest, and possible topic(s) for the research project you would like to do in DC, in order of preference or priority
*Please list three specific organizations (agencies, institutes, museums, etc.) in which you might like to intern
If you want to intern in an organization that requires a security clearance, have you begun the process of applying for clearance? Yes No
*Your language skills
Your computer skills
Details/other computer skills
Your Interview Availability

Some applicants will be invited to an interview as part of the selection process. Interviews last about 20 minutes and are conducted on the UCB campus by the Berkeley Program Coordinator (Marcia Condon) and Program alumni.

Interviews of applicants for Fall 2017 Program will be scheduled between 9 a.m. and 12 noon, then 1-5 p.m., on Wednesday March 8, Thursday March 9 and Friday March 10, 2017.

Please indicate below the days and times you would be available for an interview during that period, if requested. Please provide at least three options. Thank you!

Interview Date Time Available
*First choice
*Second choice
*Third choice
Fourth choice

Submitting Your Application

Please check your answers to verify their correctness.

After you have submitted this form:

  1. Please print two copies of your application.
  2. Keep one for your records.
  3. Sign the second copy, and turn it in to the Program Office with the following items:
    • One paper copy of your Statement of Purpose (2 double-spaced pages, 500 words);
    • One paper copy of your Resume (one page only);
    • One paper copy of your Writing Sample (no more than 5 double-spaced pages); and
    • Official transcripts from every college or university you have attended.
    • Please DO NOT staple or paper clip any application materials.
    • Please DO NOT double-side any application materials (make sure to tell your recommenders this as well).
    • Please DO remember to sign your application and recommender forms.
  4. Attach electronic copies of your Statement of Purpose, Resume, and Writing sample to an e-mail, and send to both ucwash@berkeley.edu and ucdc@berkeley.edu.
  5. Complete your Recommender Forms.

The deadline to apply for Fall 2017 is Thursday, February 23, 2017 at 4 p.m.

The information I've provided on this form is complete and accurate. I understand that my application materials will be shared with faculty, staff, and UCDC alumni involved in the selection process. If selected to participate in the program, I understand that application materials may be sent to UCDC staff in Washington, DC as well as prospective internship sites.