NEW YORK STATE SENATE

UNDERGRADUATE SESSION
ASSISTANTS PROGRAM2015
Sponsored by the New York State Senate since 1978
APPLICATION
Student Statement in Regard to Preparations and Understandings
nIhavereadtheattachedinformationinitsentiretyandIunderstandtheprogramisnotfnancial
aid for on-campus study.
nIunderstandthatifIamselected:
Imustbeabletopresentoriginal documentation verifying my United States citizenship in
ordertobeenrolled;
homecampusfacultyareresponsibleforacademicplanning/tracking/evaluationofstudent
enrollees;
theOffceofStudentProgramswillcontactselectedcandidatesbyphonetoconductaninitial
informationexchange.Studentswillbeaffordedtheopportunitytoaskquestionsrelatingto
program expectations and activities during this time.
participationinorientation,allaspectsoftheexperientialprogramandplacement,isexpected
ofeachenrollee;
theon-siteprogramattheNewYorkStateSenateinAlbanyincludesaminimum35hours
per week that may be extended from time to time during the legislative session or as a
matterofthedailyroutineintheoffceofmyindividualplacement;
unreadinessinanymatteriscausefordismissal;
application materials submitted become part of a confdential fle [Public Law 93-380,
Sec.438(a)(1)(B)]tobecopiedfordispatchduringthescreeningandselectionprocesses,
forplacementandperiodicreviewifIamselected;
the fle may become a resource if I am considered for further education or employment
duringoraftertheconclusionoftheprogram;
allmaterialsfurnishedbymeareoriginalwhererequiredandtheinformationaccurateand
truetothebestofmyknowledge;and
Iamexpectedandagreetomeetallobligationsoftheprogram.
Signature of Student: ______________________________ Date: ________________
PleasesubmitthisapplicationincoordinationwithyourCampusLiaisonOffcer(CLO).
IfthereisnoCLOoncampuspleasewrite,call,faxoremail:
Nicholas J. Parrella, M.A., Director
NYS Senate Offce of Student Programs
Mailing Address: Legislative Offce Building, # 1426, Albany, NY 12247
Location: AESOB, 80 South Swan Street, Suite 1426, Albany, NY 12247
Tel: 518-455-2611 FAX: 518-426-6827 E-mail: students@nysenate.gov
www.nysenate.gov/department/student-programs
Faculty Certifcation of Endorsement and Coursework-in-Progress
n I am the on-campus Advisor-of-Recordoftheapplicantandamemberofthecollegefaculty/administrationwithauthorityto
certifythattheapplicantwasenrolledfull-timethroughouttheimmediatelypreviousspringsemester,isenrolledfull-timeduring
thecurrentfallsemester,andhastheendorsementofthefacultyofthiscollege/universitytoapplyforand,ifselected,toenroll
andearnon-campuscreditforparticipationintheUndergraduateSessionAssistantsProgramunderthestandardsandrulesof
thiscollege,andSenateguidelines.
nIhavereviewedtheacademicrecordanddeterminedthattheapplicantiscurrentlyenrolledinandmakingsatisfactoryprogress
towardcompletionofeachofthefollowingcourses:
Coursework-in-Progress
COde/NO. NAme CredIt
1. ______________ _______________________________________________________________ ____________________
2. ______________ _______________________________________________________________ ____________________
3. ______________ _______________________________________________________________ ____________________
4. ______________ _______________________________________________________________ ____________________
5. ______________ _______________________________________________________________ ____________________
6. ______________ _______________________________________________________________ ____________________
nIcertifythatIhaveestablishedthatalltheaboveistrueandaccurateandthattheapplicanthastheendorsementofthiscollege
asanablestudentsuitableformatureoff-campusexperientialparticipationintheSenateprogram;andthatIunderstandacademic
planning,tracking,andevaluationoftheapplicantaretheresponsibilitiesoffacultyand/oradministrationofthiscollege.
________________________________________________________ ____________________________________________________________
typednameofAuthorizedCampusOffcial Signature:AuthorizedOffcial
department: ________________________________________ title: _________________________________________________
College: ___________________________________________ tel.: _________________________________________________
email: _____________________________________________ FAX: _________________________________________________
i
Senate Standing
Committees:
Topical and Policy Areas
Appropriate Original Documents
Suitable and Acceptable for
Employment Eligibility Verifcation of
United States Citizenship are Required
UnderNewYorkStateSenateguidelinescoordinatingwith
U.S.CitizenshipandImmigrationServicesstandards,those
selectedtobeSessionAssistantsshallberequiredtocon-
frmtheirUnitedStatescitizenshipbeforeenrollment(see
title8,UnitedStatesCode,Sec.1324A).
thefollowingoriginal documentsqualifyasindependent
orstand-aloneformsofverifcation:
List A: nAUnitedStatesPassport,nACertifcateofUnited
StatesCitizenship,ornACertifcateofNaturalization.
Alternatively, inter-dependentformsofidentifcationthat
satisfyrulesofverifcationmaybeassembledthatis,
matchedonefromeach ofthefollowingtwolists:
List B: nAcurrentNew York State driverslicenseor NYS
dmVnon-driverId with photograph,ornAUnitedStates
militaryCard.
List C: nAnoriginal SocialSecurityCardotherthan
acardstatingitisnotvalidforidentifcationornotvalidfor
employmentornACertifcateofBirthissuedbyastate,
county,ormunicipalauthorityand bearingcertifcation.
Ifyouhaveaspecialsituationorsetofcircumstancesdiscuss
itwithyourCLOortheOffceofStudentProgramsNOW. If
youareselected,youmustbeabletopresentthenecessary
andappropriateidentifcationatthetimeofenrollmentor
youwillnot beallowedtojointheprogramandyoumaybe
separated from the program for cause at any time.
nAging
nAgriculture
nAlcoholism&drugAbuse
nBanks
nChildrenandFamilies
nCities
nCivilServiceandPensions
nCodes
nCommerce,economicdevelopmentandSmallBusiness
nConsumerProtection
nCorporations,AuthoritiesandCommissions
nCrimeVictims,CrimeandCorrection
nCulturalAffairs,tourism,Parksandrecreation
neducation
nelections
nenergyandtelecommunications
nenvironmentalConservation
nethics
n Finance
nHealth
nHighereducation
nHousing,ConstructionandCommunitydevelopment
n Insurance
nInvestigationsandGovernmentOperations
n Judiciary
nLabor
nLocalGovernment
nmentalHealthanddevelopmentaldisabilities
nracing,GamingandWagering
nSocialServices
ntransportation
nVeterans,HomelandSecurityandmilitaryAffairs
iv
PRI NTED ONRECYCLED PAPER
q RESUME:Includearesumewithyourapplicationonepageonly.
q PrEFErrEd POLicY ArEAS:Seeoverside.Listinorderofpreference(1beingthefrst)thosetopicalareasofmostinteresttoyou.
q cONFidENTiAL rEFErENcES:Askthatthree confdential lettersofreferencebesentdirectlytoyourCLO.
( ) ()
q HOME TELEPHONE(S):
q SiGN STUdENT STATEMENT q iF YOU VOTE,GiveCity&State
q E-MAiL AddrESS:
q YOUR PERMANENT ADDRESS:
(Street&No./Bldg./Apt.) (City) (State) (Zip)
()
&
()
q CAMPUS TELEPHONE(S):
(Street&No./Bldg./Apt.) (City) (State) (Zip)
q YOUr cAMPUS rESidENcE:
q NAME:
(Last) (First) (mI)
ii
NameofInstitution
(Beginwithmostrecent)
dateof
Attendance
OverallGPA
(4.0Scale)
Current
degreeGoal
dateof
Graduation
major/
minor
Yourapplicationisnotcompletewithouttherequiredtranscriptsandallspecifedcertifcations.
q rEqUEST ALL TrANScriPTS q rEqUEST ANd iNcLUdE rEqUirEd cErTiFicATiONS
q SPEciAL SKiLLS: Selectivelylistyourmostpertinentskill(s),talent(s),interest(s),achievement(s),honor(s),andemploymentinthisspace.
donotwrite"seeresume". ________________________________________________________________________________________________
1. 2. 3.
1.
2.
3.
NAme Position/title InstitutiondirecttelephoneNumber
( )
( )
()
q ESSAY: Submitoriginalrecentworkonly,double-spaced,limitedto6-8Pages.
n GiVE TiTLE OF ESSAY: _____________________________________________________________________________
q TWO MEMORANDA: 1)Apolicyproposal.2)Arebuttal.(eachonepageonly,single-spaced).
q STATEMENT OF PURPOSE: discussyourpurposeinapplying,limitedtoonesideofan81/2x11sheet,single-spaced.
q EdUcATiON: Listallcollegesanduniversitiesyouhaveattended;beginwiththemostrecentandworkbackintime.requestalloffcial transcripts
tobesenttoyourCLO. complete the statement of coursework-in-progress, signed/certifed by a campus offcial.
New York State Senate
UNDERGRADUATE SESSION ASSISTANTS PROGRAM
Useonlythe offcial application,hereoronline.Type or print legibly! Incomplete,illegibleorinappropriatelycompleted
applicationsmaynotbeconsidered.Applicationmaterialsarenotreturnable.Applicationsshouldbecompleteuponreceipt,
includingallsignatures,andshouldbeinthehandsofthedirectorofStudentProgramsbytheapplication deadline, the
last Friday in October.(theremaybeanearlieron-campusdeadline.)QuestionsshouldbedirectedtotheCampusLiaison
Offcerfrst.IfaCLOisunavailabletoyou,redirectyourquestionstothedirectorofStudentPrograms.Applicationsshould
besentCertifed Mail/Return Receipt Requested (orexpressmail)toNicholas J. Parrella, M.A., Director, NYS Senate
Offce of Student Programs, Mailing Address: Legislative Offce Building, #1426, Albany, NY 12247.
1.
2.
to
to

iii
&
3.
4.
to
to
continue to other side
Undergraduate Session Assistant Internship
Application Instructions
1. carefully read the descriptive Brochure and Application.
2. if you have a campus Liaison Offcer (cLO) at your college or university who coordinates
applications for this program, you must contact them for further instruction before you
apply.
3. contact your cLO, Academic Advisor, department chair, dean or other duly authorized
campus personnel to determine: the requirements for off-campus study; if you are eligible
to participate in such a program; the amount of credit you may receive for such participation;
and the identity of your on-campus evaluator.
4. Visit http://www.nysenate.gov/department/student-programs to complete the offcial
application.
5. request confdential offcial transcripts of all collegiate level work. These should be sent
directly to your cLO/advisor (or to the Student Programs Offce, if necessary). request
these early.
6. include a one-page resume.
7. List in order of preference the three legislative policy areas you prefer for placement.
Refer to the policy list on page iv.
8. request three confdential letters of reference from persons familiar with your academic
abilities and professional aptitude. These should be sent to your CLO/advisor (or Senate
Student Programs).
9. Attach the required writing samples: a) an original recent paper or essay, which should
be titled, double-spaced and limited to 6-8 pages; and b) two one-page, single-spaced
memoranda:
a policy proposal: this can be either enacted or proposed legislation. Describe the
problem you are trying to solve, what your proposal would do, and the expected
outcome; and
a rebuttal of the proposal: Why wouldn't the proposal create the expected outcomes?
What are the unintended consequences? What are the costs versus the benefts?
10. include a Statement of Purpose explaining why you are applying for the assistantship
(single-spaced and confned to one page only).
11. Submit completed Faculty certifcation of Endorsement and coursework-in-Progress form
certifying your current coursework.
12. campus Liaison Officers: E-mail (students@nysenate.gov) or use certified
mail/return receipt requested when mailing application materials to the Senate
to protect the interests of the applicant(s) should mail be delayed or lost.
*Be certain to use the mailing address, not building location.*