F-1 Curricular Practical Training Application cpt

Name:
Family First
UW ID#: E-mail:

Passport Expiration Date:

Month/Day/Year
Major(s): Degree Level:

Expected degree completion date*:

Month/Day/Year

*For undergraduates or course-work-only Master’s candidates, the completion date is the date of your last exam or
graduation date; for Master’s students with thesis, it is the date of defense; for Ph.D. students, it is the date dissertation is
submitted to the Graduate School for final review.

 To be eligible, you must be in valid F-1 status and have been enrolled full-time for one
academic year.

 Participation in and authorization of CPT can only occur before degree completion. You
cannot extend your I-20 to participate in CPT if all degree requirements have been met.

 You must meet with an ISS Advisor during Walk-in Advising hours to submit this CPT
Application.

 Normal processing time for a CPT Application is approximately two weeks.

Signature of ISS Advisor: Date:

Month/Day/Year

Signature of Student: Date:

Month/Day/Year

Attach the following documentation for meeting with an ISS Advisor to submit your request:
 If you are applying for CPT based on a requirement to have a work experience to complete your degree,
submit a copy of the departmental requirement showing that all degree candidates must complete an
internship or practical training program.
 Completed Academic Advisor/Co-op Program Director Form (included in this packet).
 Completed Employer Form (included in this packet).

Revised 03/2011

International Student Services University of Wisconsin-Madison www.iss.wisc.edu

217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 Fax: 608.262.2838
 Box to be completed by ISS Staff only.

ISS Staff Member confirm:

 In valid F-1 status
 Passport valid
 Engaged in full-time study for academic year (9 months/two terms)
 Qualifies for graduate student exemption based on
 Course enrollment verified in ISIS
 If not for credit, verification of department requirement for work experience
 If requesting full-time work, student qualifies based on:
 Work occurs during summer (or other vacation period)
 Enrolled in a course designed to grant credit for full-time work
experience during a major term (Fall, Spring)
 Student has submitted an RCL for “Completed Course Work” (Fall, Spring)
 Student is a dissertator

All attachments indicated are present and complete.
(initials/date)
 Form to be Completed by the Academic Advisor or Co-op Director
for International Student Curricular Practical Training Application

Student Name:
Family First

In order for a student to qualify for Curricular Practical Training (CPT), the experience must be part of the
curriculum and related to the student’s field of study. The following reasons qualify for a curricular experi-
ence. Please indicate which applies to the student’s situation*:

 An academic internship/co-op is required of all students in this program in order to graduate.

 An academic internship/co-op is an elective option in this program and the department has a specific
course (noted below) designed for this purpose.

 Work experience gained from this internship is integral to the student’s thesis/dissertation or is
an appropriate professional experience for a student completing a thesis/dissertation. The
student is registered for the appropriate thesis/dissertation research course.

*If none of these reasons apply, the student cannot be authorized for CPT. However, the student does
have another option for work permission in his/her field called Optional Practical Training (OPT). This
type of work does not require paperwork by the academic advisor or employer; refer the student to
ISS.

Academic Department

Student is registering for course # and student will earn credits for CPT.

Number of hours student will work per week: ;  Full Time or  Part Time.

The department does or  does not consider registering for this course a full-time academic load.

Student’s CPT will occur during the Fall semester, Spring semester, or Summer of
Year

Employment to begin on and end on

(Dates from Advisor and Employer need to match.)

Advisor/Co-op Director Name Signature Date

E-mail: Phone:

Campus Address:

Please return this completed form to the student.

Revised 03/2011

International Student Services University of Wisconsin-Madison www.iss.wisc.edu

217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 Fax: 608.262.2838
 Form to be Completed by the Employer
for International Student Curricular Practical Training (CPT) Application

Instructions for Employer: Thank you for taking the time to complete this form. By doing so, we may
authorize our student to legally work for you. This information is required according to federal immigration
regulations. Please note that the student may not begin working until the CPT has been authorized. Our
normal processing time for applications is approximately two weeks. For more information on employing
an international student, visit http://iss.wisc.edu/employerknow.html.

Student Name:
Family First

Name of Company:

Work Location:

Name of Supervisor:

E-mail: Phone:

Employment to begin on and end on .

(Dates from Advisor and Employer need to match.)

Number of work hours per week: ;  Full Time or  Part Time;  Paid or  Unpaid.

Position Title:

Brief Position Description (may attach offer letter):

Name of company representative completing form Title of company representative completing form

Signature Date

E-mail: Phone:

Please return this completed form and attached position description to the student.
Student will submit to International Student Services for processing.

Revised 03/2011

International Student Services University of Wisconsin-Madison www.iss.wisc.edu

217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 Fax: 608.262.2838