Opt Application - Uwm Page 3
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3OPT Application
Student Request for Optional Practical Training I-20
Student:
Name: ___________________________
________________________
_______________________
Family (last)
First
UWM ID
_______________________
_______________@_______________
Phone number
Preferred Email
Have you been authorized for curricular practical training (CPT) in the past? ( ) no
( ) yes
Have you been authorized for optional practical training (OPT) in the past? ( ) no
( ) yes
Level of PAST OPT : ( ) Bachelor’s
from ____________ to __________
( ) Full-time
( ) Part-time
( ) Master’s
from ____________ to __________
( ) Full-time
( ) Part-time
For which type of OPT are you currently applying? ( ) Pre - Completion:
( ) Part-time ( ) Full-time
( ) Post - Completion
Always full-time
Are you a TA? ( ) Yes ( ) No If yes, what is your contract end date? ____________________
Requested OPT authorization Dates: OPT start date: ______________ OPT end date: _____________
Note: OPT start date must be within 60 days after program completion date.
I have been enrolled on a full-time basis for at least one academic year. I have followed the rules for maintaining lawful
F-1 status and understand the responsibilities required for maintaining my lawful status during my period of OPT.
Student’s Signature: ______________________________________________
Date _____________________
Academic /Faculty Advisor’s signature confirming expected completion date:
Students Major ________________
Program Completion Date ______________
mm/dd/yyyy
____________________________________
____________________________
__________
Academic Advisor/Faculty Advisor Name
Signature
Date
Email _____________________@uwm.edu
Extension ______________
Dept___________________
Reminder: Students are NOT eligible for on-campus employment during the time between the expected completion
date and the OPT approval date.
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 12/16
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