Curricular Practical Training And Authorization Request Form (Page 3 of 3) in pdf

Curricular Practical Training

Student Acknowledgement

To the Student: Please check that all the information on the CPT Authorization Form is complete and

accurate, then read the following carefully and sign the bottom to acknowledge that you understand the

rules and procedures regarding Curricular Practical Training employment authorization.

1. Employment Requirement: I understand that CPT will be authorized for employment only if it is an

integral or important part of your curriculum.

2. Eligibility: I am eligible for CPT because I have been lawfully enrolled on a full-time basis in a degree

program for at least one full academic year.

3. Part-time versus Full-time CPT: I understand that if I become authorized for part-time CPT, I many not

work more than 20 hours per week in my CPT job and that if I do so I will be in violation of my F-1

immigration status. However, if I am authorized for full-time CPT, I may work unlimited hours for the CPT

employer.

4. Effect on OPT: I understand that if I become authorized for more than an aggregate of 12 months of full-

time CPT, I will lose eligibility for Optional Practical Training authorization.

5. Course Registration Requirement: I understand that if the employment is part of a course, I must remain

registered for the entire semester for which the CPT will take place. I also understand that I am required to

semester. If I engage in full-time CPT during the fall or spring semester, I am not required to enroll in other

courses, but I must be registered as “certified full-time student” by my academic department at Becker

College.

6. Working without Authorization: I understand that I may not lawfully begin employment until the ISA has

granted Curricular Practical Training employment authorization. To do so constitutes a serious violation of

my immigration status.

7. Authorization is Employer and Date Specific: I understand that CPT is authorized for a specific

employer and that I may not work for any other employer during this period without additional CPT

authorization from the ISA. I also understand that the authorization is date specific and that I may not

begin work until the start date of the CPT authorization and I must stop working on or before the end date

of the authorization.

Acknowledgment: I have reviewed the information on the CPT Authorization Form and it is complete and

accurate. I have also read all the information on this page and acknowledge that I understand it and will abide by

the rules and procedures outlined here. I am submitting this form to the ISA as a formal request for Curricular

Practical Training authorization.

_________________________________________________________________________________

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Student’s Signature

Date

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Printed Name

Curricular Practical Training And Authorization Request Form Page 3