application for exemption from the internship requirement. 

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