Curricular Practical Training Student Application Form printable pdf download

Curricular Practical Training Student Application Form

This form is to be completed by all students applying for Curricular Practical Training (CPT).

To apply for CPT you will need to prepare all documents and schedule an appointment with the

ISSO at least one day in advanced.

PLEASE NOTE we will not grant same day appointments regardless of the circumstances.

Advisors will not be available the week before the start of the fall or spring semesters for

appointments. Failure to provide all documents completed as instructed will delay your

application.

Student Name (first name, family name):____________________________________________________________

CWID:_________________ Telephone Number:__________________ Date of Birth:______________________

Current Address:_______________________________________________________________________________

_____________________________________________________________________________________________

Primary Email Address:__________________________________________________________________________

Degree Level (ex…masters):________________________

Academic Major: _________________________

What is your expected date of graduation/commencement?_______________

Are you completing a thesis/dissertation?

Yes

If yes, anticipated date of final defense?___________________

Have you been approved for any previous CPT?

Yes

If yes, please list the dates and whether full-time or part-time____________________________________________

_____________________________________________________________________________________________

By signing below I confirm that I understand the following information about CPT. I understand I may

only work for the company listed on my CPT I-20, during the dates listed on my CPT I-20, for the

number of hours listed on my CPT I-20. I understand that part-time is considered 20 hours or less and

full-time is considered 21 hours to 40 hours. I understand that failure to follow the rules for CPT will

jeopardize my F-1 visa status.

___________________________________________

________________________

Sign your name

Date

Curricular Practical Training Student Application Form