C U R R I C U L A R P R A C T I C A L T R A I N I N G (C P T ) A P P L I C A T I O N F1 VISA International – Students ONLY Student to complete this section and submit with materials, to Academic Advisor / DSO: Degree Level: Assoc. Bachelor Masters Academic Major: Signed Offer Letter on company letterhead CoHP Practicum Placement Notification OR OR DU Employer Internship Decision Form (for credit-bearing internships only) AND Copy of position description Note: Letter or Form must include Company name, address, position title, number of hours per week, and dates of experience. I request approval for curricular practical training (CPT) employment related to my program and agree to the following requirements: Work only at approved site/position during approved dates Maintain full-time enrollment status Complete course requirements during experience (for credit-bearing internships/practicums only) Notify International Office of any changes in approved CPT Student Name: ID Number: Student Signature: Date: Academic Advisor / DSO sends to the Department Chair (DC) of the academic program to student’s complete this section and returns to Academic Advisor: The position is integral to the academic program and is approved for CPT** student’s Yes The position needs to be revised to be relevant to the academic program and returned to student’s the DC for review and approval Yes DC Name: DC Signature: Initial Review Date: DC Final Approval Signature: Approval Date: DSO / PDSO to Confirm: Student completed one full academic year in F1 status has Student is enrolled full-time in course of study Student is wait listed in credit-bearing Internship or Practicum course (if applicable) Signed Offer Letter, CoHP Practicum Placement Notification, or Employer Decision Form (attached) PDSO approval Issue I-20 with CPT authorization Name: Signature: Date:
C U R R I C U L A R P R A C T I C A L T R A I N I N G (C P T ) A P P L I C A T I O N – F1 VISA International Students ONLY Student to complete this section and submit with materials, to Academic Advisor / DSO: Degree Level: Assoc. Bachelor Masters Academic Major: Signed Offer Letter on company letterhead OR CoHP Practicum Placement Notification OR DU Employer Internship Decision Form (for credit-bearing internships only) AND Copy of position description Note: Letter or Form must include Company name, address, position title, number of hours per week, and dates of experience. I request approval for curricular practical training (CPT) employment related to my program and agree to the following requirements: Work only at approved site/position during approved dates Maintain full-time enrollment status Complete course requirements during experience (for credit-bearing internships/practicums only) Notify International Office of any changes in approved CPT Student Name: ID Number: Student Signature: Date: Academic Advisor / DSO sends to the Department Chair (DC) of the student’s academic program to complete this section and returns to Academic Advisor: The position is integral to the student’s academic program and is approved for CPT** Yes The position needs to be revised to be relevant to the student’s academic program and returned to the DC for review and approval Yes DC Name: DC Signature: Initial Review Date: DC Final Approval Signature: Approval Date: DSO / PDSO to Confirm: Student has completed one full academic year in F1 status Student is enrolled full-time in course of study Student is wait listed in credit-bearing Internship or Practicum course (if applicable) Signed Offer Letter, CoHP Practicum Placement Notification, or Employer Decision Form (attached) PDSO approval Issue I-20 with CPT authorization Name: Signature: Date:
Student%20Toolkit%20Graduate%202018.docx