Master of Public Administration Program Internship Approval Form

The internship is a requirement for all students in the Master of Public Administration Program consisting of 300 hours of work in an agency or organization. Your work as an intern must be relevant to the public affairs field and the MPA degree*. The internship requires course registration (PPUA 6861 for 0 credits or PPUA 6862 for 4 credits). Once your internship has been approved by the MPA Program Director, you will be automatically registered for the appropriate course based on your selection below. Additional assignments will be provided and factored into your grade under the supervision of the MPA Faculty Internship Advisor per the course syllabus. Please submit this form to sppua@northeastern.edu BEFORE the start of the semester in which you will begin your internship.

* Those students who wish to petition for a waiver to this requirement should fill out the separate MPA Internship Waiver Form.

Master of Public Administration Program Internship Approval Form

Name*
First Last
NU ID*
Email*
Are you an international student?*
- Yes
- No
If yes, have you completed the OGS CPT Form?*
- Yes
- No
If not, please go to www.northeastern.edu/ogs/ and view the Employment link to find the CPT Form.
Internship Agency/Organization Name*
Agency/Organization Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor Name*
Supervisor Email*
Supervisor Phone Number*
Type of Internship*
- Not for Academic Credit (0 SH Course)
- For Academic Credit (4 SH Course)
- Unpaid
- Paid
Semester and Year of Internship*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Hours Per Week*
Please describe, in two or three sentences, what your agency/organization does and what aspect of that work you would be working on:*
Please describe, in two or three sentences, what you understand that your duties and responsibilities will be while interning at this agency/organization:*
Please describe, in two or three sentences, any major research efforts, projects or tasks that you would be responsible for:*