Fillable 18CPT Application (West Georgia College)

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18CPT Application (West Georgia College)

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International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
CURRICULAR PRACTICAL
TRAINING
International students can choose to do an internship (CPT) during their studies at UWG.
• Students must be enrolled for one academic year (1 Fall and 1 Spring Semester)
• CPT must be recommended by an advisor or dean from your academic department, and you must receive course
credit for the internship.
• You must receive a job offer that qualified before you submit your CPT authorization request.
• Your job offer must be related to your field of study.
• Students can work up to 20 hours during the Fall and Spring Semester and up to 40 hours during Summer
Semester. Internships can be either paid or unpaid.
• CPT is only approved for one semester at a time. If you want to work more than one semester, you must submit
an approval form each semester. (CPT for more than 12 months will affect your OPT eligibility)
STEPS FOR THE STUDENT:
Step 1: Contact your academic advisor, department chair, or professor who may make a recommendation for the
internship. If the advisor agrees to recommend CPT, fill out sections 1, 2, and 3. Have your advisor fill out section 4 of this
form.
Step 2: Enroll in the course your academic advisor recommends. Contact the ISAP office who will review the
recommendation and decide if there is enough evidence to approve your CPT and issue a new I-20.
Step 3: After the ISAP office approves the CPT form and issues you a CPT I-20, then you can begin working. DO NOT
BEGIN WORKING BEFORE CPT IS APPROVED BY THE ISAP OFFICE.
SECTION 1: STUDENT INFORMATION
Applicant’s Family
Name (Last Name)
Applicant’s Given
Name (First Name)
Date of Birth
UWG Student ID
Phone Number
SEVIS ID Number
Email Address
Current Visa Status
F-1 Student J-1 Student Other Visa Type: Specify _______
917
N00
@my.westga.edu
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
SECTION 2: PROGRAM INFORMATION
Level of Study
Bachelors Masters PhD Certificate
First Semester at
UWG
Fall
Spring
Summer
YEAR: ________________
Semester of
requested Curricular
Practical Training
(CPT)
Fall
Spring
Summer
YEAR: ________________
Major
Expected Program
Completion Date
Statement of Understanding
I am enrolled in the course listed by my advisor below during the semester stated and understand that failing
to complete the course voids work permission. If my permission is voided, I understand that this puts my F-1
status out of compliance.
Student’s Signature
Date
SECTION 3: INTERNSHIP INFORMATION
Name of Employer
Employer’s
Address
City
Zip Code
Job Title
Number of Hours Per
Week
Job Start Date
Job End Date
Brief Description of
Type of Work
Students must also attach a copy of their employment offer letter from the employer listed above. Letter should include
the name of the employer, address, supervisor, start and end date, and number of hours each week the student will be
working.
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signature
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International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
CURRICULAR PRACTICAL
TRAINING
Summary of the Regulation
• International students who are in the US in F-1 status can complete an internship if they are receiving academic credit
and remain enrolled full time during Fall and Spring Semesters. (12 credits undergraduate and 9 credits graduate)
• Students must have completed one academic year at UWG (1 Fall & Spring Semester), unless it is otherwise
required by the program (as defined in the course catalogues).
• The United States Citizenship and Immigration Services (USCIS) limits the number of hours to 20 during Fall and
Spring and 40 during Summer Semesters. CPT can be either paid or unpaid.
• Students on CPT for longer than 12 months will forfeit their eligibility for Optional Practical Training (OPT).
STEPS FOR THE ADVISOR/DEAN:
Step 1: Meet with the student about their circumstances and make a decision on whether or not you feel the student’s
proposed internship would benefit their studies at UWG or if this is a required part of their curriculum, and meets
departmental requirements.
Step 2: If you feel the student’s internship is beneficial and approved, decide on the course(es) the student should enroll
to receive academic credit and fill out the information below. Student should submit form to ISAP office.
SECTION 4: ADVISOR RECOMMENDATION
Will student be
receiving course
credit for the
internship?
YES
NO
Is the internship expected to
be full time or part time?
Full time (20+ hours)
Part time (<20 hours)
Course Information
Course Name: _____________________________________________________________________
Course Number: (ex UWG 1111): _______________________________________________________
Instructor: _________________________________________________________________________
Credit Hours: ________ Course Start Date: _________________ Course End Date: ______________
Relation to Student’s
Study
This Internship is
Required All students in this major must do an internship to satisfy the graduation
requirements as listed in the degree catalog.
An Integral Part of the student’s curriculum and is relevant to their academic
program.
Advisor’s Signature
Date
Printed Name
Title
Email
Extension
@westga.edu
9
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18CPT Application (West Georgia College)

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Completed 24 July 2020

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