Fillable Cptgp - NSU Grad & Prof CPT Application

Fill Online, Printable, Fillable, Blank Cptgp - NSU Grad & Prof CPT Application Form

Use Fill to complete blank online NOVA SOUTHEASTERN UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Cptgp - NSU Grad & Prof CPT Application

On average this form takes 12 minutes to complete

The Cptgp - NSU Grad & Prof CPT Application form is 3 pages long and contains:

  • 0 signatures
  • 17 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Nova Southeastern University

BROWSE NOVA SOUTHEASTERN UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
3301CollegeAve|FortLauderdale,FL33314
HorvitzAdministrationBuilding,Room253
+1(954)262‐7240|intl@nova.edu
www.nova.edu/internationalaffairs
Graduate&ProfessionalCPTApplicationPacket
Document:CPTGP/Revised:April2018
Gra
duateandprofessionalstudentsmusthavebeen“lawfullyenrolledonafull‐timebasisforonefullacademicyear”
ataneligibleinstitutionbeforetheyareeligibleforCPT.Anexceptionexistsonlyforstudentsinprogramsthat
requireCPTforallstudentspriortothisoneyearrequirementcanbemet.
INSTRUCTIONS:
SubmitthisentirepackettotheOfficeofInternationalAffair
s.
Yourpacketwillbe
reviewedandyourCPTI‐20willbeprocessedwithin
sevenbusinessdays.
Processingti
meassumesallinformationhasbeencompletedfullyandcorrectly.Errorswillresultinaddi
tional
delays.
PartI:StudentInformation[TOBECOMPLETEDBYTHESTUDENT]
First
(Given)
Name:
Last(Family)
Name:
NSUN#: SEVISID: N
Emailaddress: @mynsu.nova.edu U.S.Telephone:
CurrentAddress:
(Street,City,State,Zip)
PartII:ConfirmationofUnderstanding[TOBECOMPLETEDBYTHESTUDENT]
Readandinitialnexttoconfirmyouragreementwitheverystatement.Ifyoudonotunderstandanyofthe
informationspeaktoanInternationalStudentAdvisorbeforeinitialingandsubmittingyourapplication.
Applicationswithoutinitialsnexttoeverystatementwillnotbeaccepted.
______ I confirm that I have been “lawfully enrolled on a full-time basis for one full academic year” at an eligible
institution OR that I am enrolled in a graduate program which REQUIRES employment prior to the one academic
year requirement. I understand that receiving CPT authorization and engaging in CPT without meeting eligibility
requirements is a status violation and may impact future USCIS applications.
______ I understand and confirm that I will not begin training until I have received my new, CPT-authorized I-20. Starting
work before I have received my new, CPT-authorized I-20 is a status violation and cause for termination.
______ I understand CPT will be authorized per the dates on the job offer letter or the dates of the term in which the CPT occurs
(plus subsequent break), whichever is shorter.
______ I understand that I must re-apply for additional CPT authorization if I intend to engage in training outside of the dates
authorized on my CPT-endorsed I-20, even if the training is with the same employer as a previous authorization.
______ I understand that CPT is approved for a specific employer and position and that I may not change employers or positions
without submitting a new CPT application.
______ I understand that being authorized for more than 364 days of full-time CPT at my current degree-level will result in my
ineligibility for Optional Practical Training (OPT) at my current degree-level and that it is my responsibility to monitor all
full-time CPT authorization dates if I am interested in retaining my eligibility for OPT. I understand that part-time CPT has
no impact on OPT eligibility.
______ I authorize the release of any information necessary for this request and authorize any changes needed to complete my
request.
2
PartIII:CPTEmployment/TrainingInformation[TOBECOMPLETEDBYTHESTUDENT]
CompanyName PositionTitle
StartDate / / EndDate
/ /
HoursPerWeek:
□ Full‐Time(morethan20hrs/week) □ Part‐Time(20hrsorless/week)
DoyouhaveaSocial
SecurityNumber(SSN)?
□ Yes □ No
Isthisan
extensionofapreviousCPTauthorization?
□ Yes □ No
PartIV:AcademicAdvisorRecommendation[TOBECOMPLETEDBYTHEACADEMICADVISOR]
C
heckONEandcompletetheappropriatesectionbasedonyourselection:
□OptionA:CPTauthorizationisconnectedtocourseinwhichthestudentisenrolled.
□OptionB:CPTauthorizationisforrequiredthesis/dissertationresearch(i.e.isessentialtothecompletionoftheirthesis/dissertation).
OptionA
CourseCode&CRN CourseName
#ofCredits
Termof
Enrollment
□Fall □Winter □Summer
Year
OptionB
Describetheworkthatthestudentwillbedoingandhowitappliesdirectlytothecompletionofthestudent’sthesis/dissertation:
Isthetrainingnecessaryforthestudenttocompletetheresearchobjectivesofthethesis/dissertation?
Ifno,thestudentisnoteligibleforCPTauthorization.
□Yes □No
ToBeCompletedforAllApplications
Bysigningbelow,IrecommendthattheabovestudentbegivenpermissiontoengageinCPT.Theproposedtrainingiscurricularand
integraltothestudent’sacademicobjectives.ThestudenthasagoodacademicandtheoreticalbackgroundandneedsCPTtoengage
inexperimentaltrainingconnectedtothestudent’sdegreeprogram.
Advisor’sName Email
@nova.edu
Signature Date Phone
IsstudentrequiredtoseekCareerDevelopmentapprovalforthisCPTauthorization?
AdvisorswhoselectnoindicatethatappropriatereviewofthetrainingopportunityAND
trainingsitehavealreadybeencompletedwithintheircollege.
□
Yes □No_____________(initial)
PartV:CareerDevelopmentRecommendation[TOBECOMPLETEDBYTHECAREERADVISOR]
This section is required when the Academic Advisor has indicated YES to the Career Development approval question above.
Bysigningbelow,IcertifythatIhavereviewedtheattachedjobofferletter(tobeprovidedbythestudent)andthatthetraining
experiencelistedontheattachedjobofferletterhasbeenreviewedandapprovedbytheOfficeofCareerDevelopment.
Career
Advisor’sName
Email
@nova.edu
Signature Date Phone
3
PartVI:ApplicationChecklist&Signature[TOBECOMPLETEDBYTHESTUDENT]
Pleasecheckeachboxtoensureyouaresubmittingacompletedapplicationpacket:
□ ThiscompletedGraduate/ProfessionalCPTApplicationPacket
‐Page1
PartI–StudentInformation[STUDENT]
PartII–ConfirmationofUnderstanding [STUDENT]
‐Page2
PartIII–CPTEmployment/TrainingInformation[STUDENT]
PartIV–AcademicAdvisorRecommendation[ACADEMICADVISOR]
PartV–CareerDevelopmentRecommendation[CAREERADVISOR](IfRequired)
‐Page3
PartVI–ApplicationChecklist&Signature
□ Ajobofferletterwhichiswrittenoncompanyletterheadandincludesthefollowinginformation:
Student’sfullname
Placeofemployment&jobtitle
Beginningandendingdatesofemployment(day,month,andyear)
Numberofhoursofworkperweek
Nameofsupervisor
Descriptionofjobresponsibilitieswhicharedirectlytiedtomymajor
Iconfirmthatalloftheinformationprovidedinthisapplicationisaccuratetothebestofmyknowledge.
Name(print) Signature Date
OIASTAFFUSEONLY:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Cptgp - NSU Grad & Prof CPT Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 November 2019

Message

View Audit Log
Print With Audit Log
Duplicate Document