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Fillable Printable Curricular Practical Training Application Form - George Mason University

Fillable Printable Curricular Practical Training Application Form - George Mason University

Curricular Practical Training Application Form - George Mason University

Curricular Practical Training Application Form - George Mason University

Curricular Practical Training Application Form
SUB I, Suite 4300, 4400 University Drive MS 4C3, Fairfax, VA 22030-4444 P (703) 993-2970, F (703) 993-2966, oips@gmu.edu, http://oips.gmu.edu/
Definition
Curricular Practical Training (CPT) must be an integral part of an established curriculum and directly related to the student’s
major area of study. [8CFR 214.2(f)(10)(i)]. It is authorization to participate temporarily in an internship, co-operative
education or required thesis/dissertation project.
Before You Start, Have You…
Completed a year (Fall and Spring semester) in F1 status, and one semester in your degree program at George Mason?
Earned a minimum GPA of 3.0 (Graduate Students) or 2.0 (Undergraduate Students)?
CO-OPERATIVE EDUCATION (CO-OP) INTERNSHIP COURSE THESIS/DISSERTATION
Procedure Procedure Procedure
1. Bring detailed position description to
meet with OIPS advisor to confirm that
the position meets CPT requirements. You
should do this before completing the
form. Not all positions are CPT-eligible.
2.
You, the employer and your academic
advisor complete the CPT application.
3. Obtain
the Work Agreement for Co-op
and ask the employer to complete.
4. Meet with Debbie Zuiker in Career
Thursday or Friday from 10:00AM-
12:00PM or by appointment. Bring
completed CPT application, Work
Agreement and $25 fee.
5. Return to OIPS, drop off signed CPT
application with OIPS-approved position
description
6. Allow up to two weeks for the CPT I-20
7. You will be required to complete
Learning Goals and an Evaluation
The internship course must count towards
your degree (required or elective)
1. Bring a detailed position description to
meet with an OIPS advisor, to confirm
that your proposed position meets CPT
requirements. You should do this before
completing the form. Not all positions
are CPT-eligible.
2. Enroll in a Mason for-credit
internship course in the semester you
will be participating in CPT.
3. Complete your section of CPT application
4. Employer completes their section of CPT
application
5. Academic advisor completes their section
of CPT application
6. At OIPS, drop off CPT application with
OIPS-approved position description
7. Allow up to two weeks for the CPT I-20
The training must be required to complete
the Thesis/Dissertation
1. Bring a detailed position description to
meet with an OIPS advisor, to confirm
that your proposed position meets CPT
requirements. . You should do this before
completing the form. Not all positions
are CPT-eligible.
2. Enroll in 799 (thesis) or 999 (dissertation)
3. Complete your section of CPT application
4. Employer completes their section of CPT
application
5. Academic advisor completes their section
of CPT application
6. At OIPS, turn in the CPT application with
a. Copy of OIPS-approved position
description
b. Advisor/Chair letter of support
- Must be signed and on department
letterhead
7. Allow up to two weeks for the CPT I-20
Check List Check List Check List
Work description approved by OIPS
advisor
Obtained forms for Coop Program
Completed CPT Application
Enrolled in Co-op program
Attached copy of position description
Completed Learning Goals within first
two weeks of starting work.
Work description approved by OIPS
advisor
Enrolled in Mason internship course
Completed CPT Application
Attached copy of position description
Work description approved by OIPS
advisor
Enrolled in 799/999
Completed CPT Application
Attached copy of position description
Attached Advisor/Chair letter of support
Important Information
You may begin CPT only after you have obtained your I-20 endorsed with CPT authorization.
After you have dropped off your application, additional documentation may be requested.
You may participate part-time during spring and fall semesters and part or full-time during the summer.
F1 students who complete 12 months of full-time CPT are not eligible for Optional Practical Training (OPT).
Students with graduate assistantships may be required to obtain a letter of release from the assistantship.
If you receive any compensation associated with the training (such as stipend or reimbursement) you must enroll in CPT.
Total employment (on and off campus combined) may not exceed 20 hours/week during fall and spring semesters.
Please plan ahead as it can take up to two weeks for OIPS to process your work authorization, or even longer if you submit an
incomplete packet.
CO-OP CPT CALENDAR
Semester Earliest Date to
Begin Work
Latest Date to
Begin Work
Final Application Drop-
Off Deadline at OIPS
Work End Date:
Graduating Students
Work End Date:
Continuing Students
Summer 2014 May 15 June 30 June 10 **** August 22
Fall 2014 August 25 October 15 October 1 December 17 January 16
Spring 2015 December 18 March 11 February 25 May 13 May 13
Services. Walk-in hours: Monday,
Curricular Practical Training Application Form
SUB I, Suite 4300, 4400 University Drive MS 4C3, Fairfax, VA 22030-4444 P (703) 993-2970, F (703) 993-2966, oips@gmu.edu, http://oips.gmu.edu/
STUDENT INFORMATION: Completed by Student
I have read and understand the important information regarding CPT and its guidelines.
Signature ___________________________________________________________Date ____________________________________
COMPANY INFORMATION: Completed by Employer
Temporary employment for CPT purposes will be offered with:
________________________________________________________________________________________
Company/Organization Name Contact Person Phone#
___________________________________________________________________________
Physical Location (No PO Box) City, State Zip Code
Student’s Position Title ________________________________________Number of hours/week _____________________________
Employment Start Date________________________________ Employment End Date _____________________________
A position description with a minimum of 3-4 specific duties is attached.
_________________________________________________________________________________
Employer Printed Name Signature Date
ACADEMIC INFORMATION: Completed by Academic Advisor, Department Head or Dean
CPT is authorization to participate in temporary training that is an integral part of an established curriculum and directly related to
the student’s major area of study. It is not meant to facilitate the creation of special employment opportunities for F1 students.
We ask that you review the above to help us determine whether the proposed program meets government guidelines for CPT.
Estimated Graduation (Semester/Year): ___________________ Major Field:______________________________________________
Advisors of graduate students
:
Has the student completed his/her required coursework? Yes No
If YES:
If the student is applying for Thesis/Dissertation CPT, the training must be required to complete the thesis or dissertation.
*Note that if the training is OPTIONAL, then the student is not eligible for CPT but may meet the eligibility requirements for Optional
Practical Training. An OIPS advisor can provide details.
The work is required to complete the thesis/dissertation.
I have attached a letter which explains in detail how the research will be used in the thesis or dissertation.
I have read the detailed position description and the student’s explanation of course relevance. I confirm that this Curricular
Practical Training opportunity is integral to or required for the student’s program of study. It will not delay the student’s expected
completion date as listed on the I-20.
Printed Name Signature Date
Position/Title Phone Number E-mail
CO-OPERATIVE EDUCATION (Co-op) ONLY: Completed by Co-op Specialist at Career Services
The above student has been approved to participate in Co-op.
Signature___________________________________________________________Date_____________________________________
Given Name/Family Name ________________________________________________G Number______________________________
Date of Birth ___________________Level of Study/Major_____________________________________________________________
List all relevant courses that you have taken that apply to this position: _______________________________________________________
_______________________________________________________________________________________________________________________
Course Relevance: CPT must be integral to or required for your degree. How does this training opportunity directly relate to your
coursework? In detail, explain two ways that this training is integral to your degree. You may want to consult with your Academic
Advisor to thoroughly complete this section. This is important for the final approval and cannot be processed if
it is insufficient.
1.____________________________________________________________________________
_____________________________________________________________________________
2.
____________________________________________________________________________
_____________________________________________________________________________
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