Fillable Imm Formi538 I-538_V8.xft

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Imm Formi538 I-538_V8.xft

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Country of origin: US
File type: PDF

U.S.A. forms for Hudson Valley Community College

BROWSE HUDSON VALLEY COMMUNITY COLLEGE FORMS

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SECTION A. This section must be completed by the student, as appropriate. (Please print or type):
1. Name: 2. Date of birth:(First) (Middle)(Family in CAPS)
3. Student admission number: 4. Date first granted F-1 or M-1 status:
5. Level of education being sought: 6. Student's major field of study:
7. Describe the proposed employment for practical training:
Number of hours per week:Beginning date:
Ending date:
8. List all periods of previously authorized employment for practical training:
A. Curricular or work/study: B. Post completion of studies
Signature of student: Date:
SECTION B.
9. I hereby certify that:
The student named above:
Is taking a full course of study at this school, and the expected date of completion is:
Is taking less than a full course of study at this school because:
Completed the course of study at this school on (date):
Did not complete the course of study. Terminated attendance on (date):
Check one:
A. The employment is for practical training in the student's field of study. The student has been in the educational program for at
least nine (9) months, is in good academic standing, and is eligible for the requested practical training in accordance with INS
regulations at 8 CFR 214.2(f)(10). The training that the student will participate in is an integral part of an established curriculum.
B. The employment is for an internship with a recognized international organization and is within the scope of the organization's
sponsorship. The student is in good academic standing.
10. Name and title of DSO: Signature: Date:
11. Name of school:
School file number:
For Official Use Only
(See instructions on reverse)
U.S. Department of Justice
Immigration and Naturalization Service
OMB Approval No. 1115-0060
Certification by Designated School
This section must be completed by the designated school official (DSO) of the school the student is
attending or was last authorized to attend:
Microfilm Index Number:
Form I-538
(
Rev. 08/12/02
)
Y
Telephone Number:
Instructions
Comments:
A student seeking authorization for off-campus employment (F-1 only) or practical training (F-1 and M-1) must
submit as supporting documentation to Form I-765, Application for Employment Authorization, a certification by the
designated school official (DSO) of the school the student is attending or was last authorized to attend.
Certification by the DSO is required of all students (F-1 and M-1) seeking authorization for employment off campus
or practical training, including required or optional curricular practical training.
The DSO must certify on Form I-538 that the proposed employment is directly related to the student's field of study.
Where to Submit Certification.
A copy of the DSO's certification must be mailed to: ACS Students/Schools (STSC) Section, P.O. Box 170,
London, KY 40741. Overnight carrier deliveries must be sent to: ACS - INS, INS Students/Schools (STSC)
Section, 1084 South Laurel Road, London, KY 40744.
All students requesting school certification must complete questions 1 through 6. Students requesting a
recommendation for practical training must complete questions 7 and 8. Answers to questions 7 through 9 may be
continued on this page, if needed.
Reporting Burden.
An agency may not conduct or sponsor an information collection and a person is not required to respond to an
information collection unless it contains a currently valid OMB control number. The public reporting burden for this
collection of information is estimated to average 4 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: U.S. Department of Justice, Immigration
and Naturalization Service, HQPDI, 425 I Street N.W., Room 4034, Washington, DC 20536; OMB No. 1115-0060.
DO NOT MAIL YOUR COMPLETED CERTIFICATION TO THIS ADDRESS.
Form I-538
(
08/12/02
)
Y Pa
g
e 2
Since the I-538 is used by the DSO for certification purposes, no fee is required for the submission of this form.
NOTE: M-1 students seeking extensions of stay must file a completed Form I-539, Application to Extend/Change
Nonimmigrant Status, supported by a current Form I-20M-N, as appropriate. The I-539 application must be
submitted to the INS service center that has jurisdiction over the student's residence.
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Completed 3 December 2019

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