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