(Cpt) Application
Download a blank fillable (Cpt) Application in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete (Cpt) Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Curricular Practical
Training (CPT) Application
Updated 05/2013
This form is required before any off-campus opportunity can be authorized for CPT. Note: CPT is authorized on a quarter-by-
quarter basis. The student should fill out the top portion and then meet with the appropriate NU individual for his/her signature.
This individual could be either your academic advisor, thesis/dissertation advisor, McCormick Career Office advisor, or Chicago
Field Studies advisor.
STUDENT INFORMATION
Family Name:
First Name:
1st Quarter/Semester at NU:
SEVIS ID:
Student ID:
Degree level:
Major:
Minor:
OFFER INFORMATION -
Must match offer letter exactly
Name of Company/Institution:
Site of Activity (Complete Address):
Start Date:
End Date:
I am requesting:
Full Time (21 hours per week or more)
Part Time (20 hours per week or fewer)
ACADEMIC NECESSITY
Identify which class you will be or are registered for that necessitates CPT.
Option 1: Work is needed to fulfill requirements for an established course
If other, list course:
Click to choose course
Option 2: Work is part of an established co-op, clinical training program or other required training program
If other, list course:
Click to choose course
Option 3: Graduate student who is registered for thesis, dissertation, or continuation courses and the work is necessary
for the completion of the thesis, dissertation, or degree.
Click to choose course
If other, list course:
NU VERIFICATION
If the student indicated 'other' above, please explain how the course indicated and the associated CPT is an integral or required
part of the student's program of study below:
By signing below, I confirm that the above named student is currently enrolled as full-time and is in good academic standing.
Title:
Name:
Signature:
Date:
Northwestern University - The International Office
IO USE ONLY
630 Dartmouth Place, Evanston, IL 60208-2147
Date received: ____________
Ph: (847) 491-5613 - Fax: (847) 556-6006
Pick up on : ____________
- intoff@northwestern.edu
Advisor initials: ____________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education