Indiana House Democratic Caucus

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If you are interested in serving as a legislative page at the Indiana House of Representatives, please complete this application. Your application will be forwarded to the House Page Office and you will be contacted with further information.

We ask that page applicants identify two different dates when they can come to the Statehouse between the first week of January through April. In choosing these two dates, please note that Mondays, Tuesdays and Thursdays are generally the best days to serve (no pages are scheduled for Fridays). Because of space restrictions in the program, you may not get your first choice for a date in serving as a page.

Page's first name:

Page's last name:

Age:

Address:

City:

Zip:

Representative

Preferred date to page (1st choice)

Preferred date to page (2nd choice):

Email address:

Home telephone number:

Parent / Guardian's name:

School

Please note any special arrangements that may be required:

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