Office of Career Services Request for Waiver of Community Service

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Office of Career Services
Request for Waiver of Community Service
and Career Related Internship Requirement
On the basis of past experience which I believe meets degree requirements I request a waiver of the:
(
) FEX 2515 Community Service
(
) FEX 4525 Career-Related Internship
A letter from my supervisor documenting both the quality of my work and the number of hours worked,
are attached.
NAME __________________________________________________________ CLASS OF _________________
ACADEMIC MAJOR(S) ________________________________________ PHONE _______________________
ORGANIZATION NAME _____________________________________________________________________
ORGANIZATION ADDRESS __________________________________________________________________
P.O. Box and Street
___________________________________________________________________________________________
City
State
Zip Code
SUPERVISOR _______________________________________________ PHONE _______________________
PERIOD OF WORK ________________ TO _________________
Month and Year
Month and Year
NO. HOURS WORKED _____________
POSITION DESCRIPTION (DUTIES AND RESPONSIBILITIES):
_____________________________________________________________
STUDENT
___________________
DATE
_____________________________________________________________
DIRECTOR OF CAREER SERVICES
___________________
DATE
cc:
Registrar
Student
MRB-sef
01-08-16
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