Cpt Application - Uwm (Page 3 of 4) in pdf

Advisor Recommendation Form for CPT

Student Request for Curricular Practical Training

Name: ___________________________

________________________

_______________________

Family (last)

First

UWM ID

For an international student to qualify for Curricular Practical Training (CPT), the experience must be part of his or her

curriculum and be related to his or her field of study. The following reasons qualify for a curricular experience.

Choose the appropriate reason:

□ An academic internship is required of all students in this program in order to graduate from UWM.

□ An academic internship is an elective option in this program and the department has a specific course de-

signed for this purpose (listed below).

□ Work experience gained from this internship is an integral part of the student’s thesis / dissertation, or is an

appropriate professional experience for the student completing his or her thesis / dissertation. The student is

enrolled in the appropriate thesis /dissertation research course.

Please briefly explain how this work experience is related to the student’s coursework:

Academic Department: __________________________________________________________

Course #: _______________________ Number of Credits for Course: ___________________

CPT will take place during the (select only ONE):

□ Fall semester

□ Spring semester

□ Summer Term

The work the student will be doing is:

□ Part time (20 hours or less per week)

□

Full time (more than 20 hours per week)

Employment begins on _____________________ and ends on ___________________

(*Note dates from Advisor and Employer need to match)

* Term in which all degree requirements expected to be completed.

____________________________________

____________________________

__________

Academic Advisor/Faculty Advisor Name

Signature

Date

Email _____________________@uwm.edu

Extension ______________

Dept___________________

Please return this form to the student. The completed form must be submitted with the student’s application.

Center for International Education– International Student and Scholar Services

Phone 414-229-4846

Garland Hall, Room 138

Fax 414-229-3750

PO Box 413

Milwaukee, WI 53201-0413

REV JZ 06/16

Cpt Application - Uwm Page 3

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