F-1 Cpt Application - Cisp (Page 2 of 2) in pdf

F‐1 Curricular Practical Training (CPT) Application CISP

Student Information

Name of Student: ______________________________________________________________________

Last, First Middle

SID Number: _________________________________ SEVIS Number: N___________________________

Major: ___________________________________________ [ ] Bachelor’s Degree [ ] Master’s Degree

___ Job Offer Letter Required

Internship Summary

Name of Employer: ____________________________________________________________________

Employer’s Address: ___________________________________________________________________

Street Number, Street Name, Bldg. Name, and/or Suite Number, if applicable; City, State, Zip Code

Job Title: Internship Dates: Starting _______________________ End _________________________

[ ] Part time CPT (20 hours per week or less)

[ ] Full time CPT (over 20 hours per week.)

I promise to monitor my time on full‐time CPT

and not work longer that 11 months if I wish to

participate in OPT.

___ Eligibility Paperwork Required

Eligibility Information

Please select the most appropriate:

 Internship – Provide Internship paperwork received in the class plus proof of registration

 Required for program – Please bring catalog printout, department handbook printout or other department

literature as proof of requirement.

 Student in in the Master’s program in College of Business and Public Administration

 Obtain a letter from an academic advisor stating how the position enhances the student's educational

goals:

o The goals and objectives of the specific academic training program;

o A description of the academic training program, including its location, the name and address of

the training supervisor, number of hours per week, and dates of the training;

o How the academic training relates to the student's major field of study;

o and Why it is an integral or critical part of the academic program of the student.

My signature below indicates I have read the FAQs on the reverse side and I understand the requirements for CPT and

maintenance of my F‐1 status. I also understand that authorization will only be for the approved employer and dates above, in

one quarter increments. I will contact the CISP for any information I don’t understand. I will not work without permission.

Signature ________________________________________________________ Date ________________

NOTE: If you need a Social Security Number, please apply for a social security letter at the same time.

F-1 Cpt Application - Cisp Page 2