TENNESSEE STATE UNIVERSITY PRINT FORM Masters in Public Administration CLEAR FORM INTERNSHIP EXEMPTION FORM These materials, including the signed form, must be submitted as a single PDF file via email to your advisor by the date of the MPA comprehensive examination in the semester in which you plan to graduate. You may also choose to submit this documentation for consideration in an earlier semester. TO: MPA Advisor, Dept. of Public Administration, College of Public Service and Urban Affairs FROM: Name: _____________________________________ T-No: _____________________________________ I hereby apply for exemption from the public service internship requirement of the MPA degree. I have at least one year of significant governmental, nonprofit or healthcare administration professional experience. ATTACHED are all of the following: (1) Documentation of the work that will qualify me for exemption from the MPA internship including: a. A MINIMUM 10-page paper identifying how my job relates to the core courses of the MPA degree (and if desired in addition, relevant elective courses) b. Examples of forms, projects, and programs that I have directly or indirectly worked on in my agency or organization. (2) A current résumé and the job description for the position held which is being used to justify my consideration for exemption from the internship requirement. __________________________________________ Student Signature ACTION: _______ APPROVED __________ Date ________ DENIED __________________________________________ DATE: ______________ Advisor __________________________________________ DATE: ______________ Dept. Chair, Public Administration
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