Curricular Practical Training (CPT) Guidelines and Request Form

for CMC F-1 International Students Seeking Internships in the U.S.

STUDENT INFORMATION

To be completed by the F-1 student:
Student Name Student Name First Last
CMC Student ID
Expected Graduation (mm/yyyy): Expected Graduation (mm/yyyy): / MM / DD YYYY
SEVIS ID
DESCRIPTION OF CPT EMPLOYMENT
Academic Term (Term/Year)
Name of Employer
Employer Address
Employment Start Date (mm/dd/yyyy) Employment Start Date (mm/dd/yyyy) / MM / DD YYYY
Employment End Date Employment End Date / MM / DD YYYY
Number of Hours per Week

Number of Hours per Week Part-Time (20 hours per week or less) Full-Time (More than 20 hours per week)
In order to be authorized for CPT, your job must be related to your major(s). Briefly describe how your internship/off-campus job is related to your major field(s) of study.
INTERNSHIP COURSE REGISTRATION
Internship Offer Letter

Attach Files
Students must register for and complete one of the following internship courses and/or academic programs to fulfill CPT requirements as per F-1
federal regulations. Please check the program and/or course you are participating in.

Students must register for and complete one of the following internship courses and/or academic programs to fulfill CPT requirements as per F-1
federal regulations. Please check the program and/or course you are participating in. Silicon Valley Program Washington DC Program INT 098 INT 099 INT 198 INT 199 INT 30 GOV 30
STATEMENT OF AGREEMENT

By signing below:
• I acknowledge that I have read and understand the information notated in this document and I agree to abide by the above referenced
regulations instituted by U.S. federal government concerning my F-1 status.
• I understand that my employment can only begin after receiving a Form I-20 with Curricular Practical Training (CPT) authorization, on or after
the start date indicated on the Form I-20, and that I must report any changes in my employment to my DSO immediately.
• I understand that if I fail to enroll in or complete the required internship course specified above, my CPT authorization may be terminated.
• I understand my responsibilities as they pertain to my F-1 student status during my participation in CPT, and that engaging in any unauthorized
employment is a violation of my F-1 status and could result in the termination of my SEVIS immigration record.
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Curricular Practical Training (CPT) Guidelines and Request Form

Curricular Practical Training (CPT) Guidelines and Request Form

STUDENT INFORMATION

DESCRIPTION OF CPT EMPLOYMENT

INTERNSHIP COURSE REGISTRATION

STATEMENT OF AGREEMENT