Form I-538 - U. S. Department Of Justice printable pdf download

U. S. Department of Justice

OMB Approval No. 1115-0060

Immigration and Naturalization Service

Certification by Designated School Official

SECTION A. This section must be completed by student as appropriate (Please print or type):

1. Name:

(Family in CAPS)

(First)

(Middle)

2. Date of birth:

3. Student admission number:

4. Date first granted F-1 or M-1 status:

5. Level of education being sought:

6. Student's major field of study:

7. Describe the proposed employment for practical training:

Beginning date:

Ending date:

Number of hours per week:

8. List all periods of previously authorized employment for practical training:

A. Curricular or work study:

B. Post completion of studies:

Signature of student:

Date:

SECTION B. This Section must be completed by the designated school official of the school the student

is attending or was last authorized to attend:

9. I hereby certify that:

The student named above:

is taking a full course of study at this school and the expected date of completion is: _____________

is taking less than a full course of study at this school because _________________________

Completed the course of study at this school on (date): _____________

Did not complete the course of study. Terminated attendance on (date) _____________

Check one:

A. The employment is for practical training in the student's field of study. The student has been in the

educational program for at least 9 months and is eligible for the requested practical training in accordance

with INS regulations at 8CFR 214.2(f) (10).

B. The Endorsement for off-campus employment is based on the wage-and-labor attestation filed by the

employer in accordance with the requirements set forth by the Secretary of Labor. The student has been

in F-1 status for at least one year and is in good academic standing. Copy of the employer's attestation

is attached.

C. The employment is for an internship with a recognized international organization and is within the scope of

the organization's sponsorship. The student has been in F-1 status for at least 9 months and is in good

academic standing

10. Name and title of DSO

Signature

Date

11. Name of school

School file number

Telephone no.

For Official Use Only

Microfilm Index Number:

Form I-538 (Rev. 07/08/91)N

(See instructions on reverse)

Form I-538 - U. S. Department Of Justice

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