cpt
F-1 Curricular Practical Training Application
Name:
FamilyFirst
UW ID#:Wiscmail:
Date of Birth:
Passport Expiration Date: Month/Day/Year
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 and Ph.D. students, it is the date the thesis/dissertation is submitted to the
Graduate School for final review.
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Required CPT Documentation:
Completed Academic/Career AdvisorForm (included in this packet).
Enroll for the appropriate course on the Academic/Career Advisor Form.
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 Employer Form with position description (included in this packet).
Exact start and end dates must be specified
Only completed applications will be reviewed and processed.
Signature of ISS Advisor:
Signature of Student:
•
•
•
Date: Date:
Month/Day/Year
Month/Day/Year
To be eligible, you must be in valid F-1 status and have been enrolled full-time for at least 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 to submit this CPT Application.
• Normal processing time for a CPT application is approximately two weeks.
Revised 05/2015
International Student Services University of Wisconsin-Madison
www.iss.wisc.edu
217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 [email protected]
Form to be Completed by the Academic or Career Advisor
for International Student Curricular Practical Training Application
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)
Student Name:
FamilyFirst
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 experience. 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.
(21+ hours/wk) (20 hours/wk or less)
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 Name:
Signature:
E-mail:
Phone:
Date:
Campus Address:
Please return this completed form to the student.
Student will submit to International Student Services for processing.
Revised 05/2015
International Student Services University of Wisconsin-Madison www.iss.wisc.edu
217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 [email protected]
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:
FamilyFirst
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
(21+ hours/wk) (20 hours/wk or less)
 Paid
or  Unpaid
Position Title:
Brief position description of job duties student is expected to perform (may attach additional page if needed):
Name of company representative completing form
Title of company representative completing form
SignatureDate
E-mail Phone
Please return this completed form to the student.
Student will submit to International Student Services for processing.
Revised 05/2015
International Student Services University of Wisconsin-Madison www.iss.wisc.edu
217 Red Gym 716 Langdon Street Madison, WI 53706 Phone: 608.262.2044 [email protected]