Fillable Curricular Practical Training Agreement Form1 31 2018 (University of Central Missouri)

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Curricular Practical Training Agreement Form1 31 2018 (University of Central Missouri)

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The Curricular Practical Training Agreement Form1 31 2018 (University of Central Missouri) form is 4 pages long and contains:

  • 4 signatures
  • 30 check-boxes
  • 19 other fields

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File type: PDF

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1/31/2018, Page 1
Curricular Practical Training Agreement Form
Student Information
Student name (LAST/FAMILY, and First/Given name):
700#:
Employer Information
Company Name:
Employer Address:
Employment Start Date:
Employment End Date:
Students, employers, academic departments and DSOs will all be responsible for reviewing the following
information and abiding by all policies contained within this CPT Agreement Form.
Definition of CPT
An F-1 s
tudent may be authorized by a Designated School Official (DSO), otherwise known as an International Student Advisor, to
participate in a curricular practical training (CPT) program that is an integral part of an established curriculum. Curricular practical
training is defined to be alternative work/study, internship, cooperative education, or any other type of required internship or
practicum that is offered by sponsoring employers through cooperative agreements with the school. A student may begin
curricular practical training only after receiving his or her Form I-20 with the DSO endorsement. [Regulation citation: 8 CFR
214.2(f)(10)(i)]
Eligibility Requirements
• The student must currently be in valid F-1 status.
• The student must have been enrolled in a full course of study for at least one full academic year. Exceptions to the one
academic year of enrollment before CPT may be available for graduate students that require immediate participation in
CPT. Additional documentation is required for this exception.
• Intensive English Program students do not qualify for CPT.
• The student m
ust be in good academic standing (2.0 minimum GPA for undergraduate students, and 3.0 minimum GPA for
graduate students).
• The student must have additional required classes remaining to complete. CPT is not available to students who have
met all program requirements.
• The training must be an integral part of an established curriculum. CPT is academic in nature, it is not to be used for
any other reason.
• The training must be directly related to the student's major area of study.
• The student must receive course credit for CPT participation.
•
The academic departments will upload documentation to Xtender as proof that students are meeting academic
attendance requirements for CPT course enrollment. Documentation may include but is not limited to pay stubs, regular
employer/student evaluations, and attendance logs.
• The student must continue to make normal progress toward degree completion while participating in CPT.
• The student must continue to enroll in a full course of study during CPT in the fall and spring semesters.
o Undergraduate students must enroll in 12 credit hours, unless approved for reduced course load for the final
semester.
o Graduate students must enroll in 9 credit hours, unless approved for a reduced course load for the final semester.
1/31/2018, Page 2
Important Considerations/Facts
• Students may apply for full-time CPT (more than 20
hours of work per week) or part-time CPT (20 hours or less of work
per week).
• Students who have received one year or more of full time curricular practical training (CPT) are ineligible for post-
completion academic training (OPT).
• Students must apply for CPT authorization regardless of whether an internship is paid or unpaid. The student and the
employer must review the U.S. Department of Labor (DOL) laws before agreeing to an unpaid internship. The following
Department of Labor sheet provides valuable information on this issue:
https://www.dol.gov/whd/regs/compliance/whdfs71.pdf.
• CPT authorization is only available for internships within the United States. A separate process will be required to intern
with companies outside of the U.S.
• Students must not complete any work outside of the CPT dates listed on the I-20, including attending a company
orientation.
• A change in CPT employer will not be approved if a CPT I-20 has already been issued. Students must submit the full
application again if a change in employment occurs before the CPT I-20 is issued, or if a change of employer is required
to meet the requirements of the course.
• If an extension of CPT is required, then students must submit the full application again to receive an updated CPT I-20.
Application Requirements
• Applications must be submitted two weeks prior to the requested start date of employment.
• Applications must be received no later than the last date to add/drop during the fall and spring semesters.
Application Checklist:
Review the CPT Power Point on the forms web page: https://www.ucmo.edu/graduate/current/Forms.cfm#CPT and/or
attend a scheduled CPT workshop.
Complete and pass the CPT quiz, found on the forms web page.
Submit the CPT Application, found on the forms web page.
Submit this completed CPT Agreement form to isss@ucmo.edu, it must be completed and signed by your employer and
academic department .
Provide a job offer letter that includes the following requirements. Or, provide a job offer letter and a supporting letter from
the employer that includes all requirements to isss@ucmo.edu.
Offer Letter Checklist:
On company letterhead
Date letter issued
Student name
Start and end dates of training/CPT
Number of hours per week to be worked
Physical location/address where student will physically be working
A brief description of the duties to be performed. All duties must be directly related to program of study.
Signed by employer
The following statement from the employer: "We agree to cooperate with the University of Central Missouri in
achieving the curricular purposes
of the employment/training for this student".
1/31/2018, Page 3
Employer Attestation
I have provided a CPT offer letter that meets all requirements requested by UCM in order to meet federal regulation
requirements.
I agree to cooperate with the University of Central Missouri in achieving the curricular purposes of the
employment/training for this student.
If the internship is unpaid, I confirm that I have reviewed the Department of Labor Laws and will adhere to all Department
of Labor policies.
I understand that the student will not be eligible to work prior to receiving a CPT I-20, and the student will only be eligible
to work within the dates listed on the I-20, this will include participation in an orientation.
I will update the student with any changes in the internship agreement so that the student can directly notify UCM of
updates to CPT employment.
I have reviewed, understood, and will adhere to all requirements for this CPT agreement.
Official with Signatory Authority/Supervisor Printed Name and Title
Signature
Date
Academic Department Attestation
I have re
viewed the CPT offer letter and confirm that the CPT internship requested will sufficiently meet the requirements
of the internship course for which the student is enrolled.
I confirm that the CPT internship requested is directly related to the student’s program of study.
I confirm that documentation will be uploaded to Xtender as proof that the student is meeting academic attendance
requirements for CPT course enrollment. Documentation may include but is not limited to pay stubs, regular employer/
student evaluations, and attendance logs.
The student is enrolled in the following internship course
Please provide a brief description regarding how the job duties directly relate to the student's academic program of study:
Please provide
a brief description regarding the academic goals and expectations for the student's internship:
Please provide a brief description regarding how progress will be evaluated for the student's internship:
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1/31/2018, Page 4
I have reviewed, understood, and will adhere to all requirements for this CPT agreement.
Official with Signatory Authority/Academic Representative Printed Name and Title
Signature Date
Student Attestation
I understand that CPT internships are academic in nature. This CPT internship will not be used for any other reason.
I confirm that participating in CPT employment will not delay my progress in my academic progr
am.
I understand that changes in employment are not authorized after the CPT I-20 has been issued.
I understand that I will not be eligible to work prior to receiving a CPT I-20. I must have my CPT I-20 in hand to work. I
will only be eligible to work within the dates listed on the I-20, this will include participation in an orientation.
I will provide updates regarding my CPT employment to my DSO/International Student Advisor immediately after a
change.
I have reviewed, understood, and will adhere to all requirements for this CPT agreement.
Student Printed Name
Signature
Date
DSO Attestation
I conf
irm that this student will be able to maintain full-time enrollment during the CPT period.
I have confirmed the student’s academic standing and enrollment in a full course of study for a minimum of one year.
I have reviewed the full CPT application submitted by the student and have verified that the student is eligible for CPT.
Notes
I have rev
iewed, understood, and will adhere to all requirements for this CPT agreement.
DSO Printed Name and Title
Signature
Date
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Curricular Practical Training Agreement Form1 31 2018 (University of Central Missouri)

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Completed 22 July 2020

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