International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
OPTIONAL PRACTICAL TRAINING
This form should be used for students who want to use Optional Practical Training (OPT).
Be sure to follow all directions on our website at westga.edu/isap/employment.
SECTION 1: STUDENT INFORMATION
To be completed by the student.
Applicant’s Family
Name (Last Name)
Applicant’s Given
Name (First Name)
Date of Birth
UWG Student ID
917
Phone Number
SEVIS ID
N000
Permanent Email
Address
I am requesting the following dates for OPT and understand that these dates cannot be changed once the OPT application has
been submitted to USCIS.
Proposed OPT
Start Date
Proposed OPT
End Date
Type of OPT
Full Time (20+ hours) Part Time (less than 20 hours) STEM Extension
Degree Type
Bachelors Masters Doctoral
Graduation or
Degree Completion
Date
Major/Degree
Program
Please list any
previously
authorized dates of
OPT
Describe the type
of Employment you
will be seeking and
how it relates to
your major.
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Student’s Statement of Understanding
I understand that I must report to the International Student Admissions & Programs Office (westga.edu/isap/employment) any
change to my name or address, employer information, any interruption of OPT employment, or transfer intent within 10 days.
I understand that accruing an aggregate of more than 90 days of unemployment during my post-completion OPT will result in a
violation of the requirements for remaining in valid F-1 status.
I UNDERSTAND THAT I MUST REPORT THE NAME OF MY EMPLOYER AND SEND A COPY OF MY EAD CARD TO
ISAP within 10 days of my employment start date. (You can do so on our website: westga.edu/isap/employment, look for
Submit Copy of EAD Card)
Failure to report any changes to employment, address, name, etc. will result in immediate removal of OPT approval
and the student will become out of status.
Student Signature: _____________________________________________________________________ Date: _______________
SECTION 2: ADVISOR RECOMMENDATION
To be completed by the academic advisor or Dean.
US immigration regulations require that Optional Practical Training (OPT) be used by students for employment related to the student’s
field of study. Please complete Part II of this form and return the completed form to the student. Any questions can be directed to the
International Services & Programs Office. Thank you for your assistance.
When will the
student complete
their studies at
UWG?
To the best of your knowledge, is the
proposed employment related to the
student’s field of study and appropriate to
the student’s education level?
YES
NO
The student’s
completion date
represents:
Graduation/Conferral of Degree Date
Completed Thesis/Dissertation
Other
(please explain)
Advisor Name: _____________________________________________________________________________________________
Advisor Title: ______________________________________________________________________________________________
Advisor’s Department: _______________________________________________________________________________________
Advisor’s Email: ____________________________________@westga.edu Extension: 9_______________________
Advisor Signature: _____________________________________________________________________ Date: ________________
Email completed forms to isap@westga.edu