Fillable Printable Curricular Practical Training (CPT) for F-1 Students - USC

Curricular Practical Training (CPT) for F-1 Students - USC

Curricular Practical Training (CPT) for F-1 Students

Revised

04/15

Office use: ________units for________. Restrictions: ________. RCL: ________.

Today's Date:

Family/Last Name:

First Name:

USC ID Number:

SEVIS Number:

N00

First Semester at USC:

Date of Birth:

Telephone Number:

Degree Objective:



Bach



Master



PhD



Other: _____________

Field of Study:

Current Status:



F-1



J-1



Other:

_____________

Expected Graduation:

Email Address:

Local U.S. Address:

Grace Ford Salvatori Hall 120

Los Angeles, CA

90089-1696

Ph: (213)740-2666

Fax: (213)740-5194

Email: ois@usc.edu

www.usc.edu/ois

Application Checklist: The following actions must be completed before turning in CPT application



Complete application form (all items must be filled in)



Academic Advisor’s signature on Advisor Form (see reverse)



Submit Reduced Course Load (RCL) form if enrolled in less than:



Doctoral 6 units; Master’s 8 units; Undergraduate 12 units

 RCL not required for summer semester

Keep ALL original copies of CPT I-20s for future USCIS applications such as OPT, H-1B and Permanent Residency



I need a letter for my Social Security Number (SSN) application—only for students who do not have a SSN

Employment Information: All numbers and letters must be legible or application will not be processed

Company name: _____________________________________________________________________________

Company address: _____________________________________________________________________________

street city state zip code

Beginning date: ___________ Ending date: ___________ Numbers of hours per week: ___________

List ALL periods of previously authorized CPT– use separate sheet of paper if necessary and include if CPT was

part-time or full-time.

From:_________________ To:_________________



Part-time



Full-time

From:_________________ To:_________________ Part-time Full-time

Will you have an RA/TA/on-campus job during the semester you are applying for CPT? Yes No

If yes, how many hours per week will you work on campus? hours

Curricular Practical Training (CPT) Advisor Form

Revised

04/15

Curricular Practical Training (CPT) is work authorization for off-campus employment

in the student’s field of study which is a required part of curriculum.

The following form must be completed and signed by an academic advisor in order

to be authorized for CPT.

This form verifies that _________________________________________________________________________ is

Name of Student: last first other

a(n)_________________________________ student in the______________________________________ program in

undergraduate/graduate (B.S./M.S./Ph.D. etc)

_____________________________________.

field of study

The student intends to pursue practical training which is required for the degree in that:

the student will be participating in an internship program which is required by the academic program. (This op-

tion is only available to Masters degree students in Urban and Regional Planning, Public Administration, Health Ad-

ministration, & CNTV: Peter Stark Program)



the student is registered in the following internship course ________________ and is required to work off-

campus to fulfill course requirements.

the student is registered for ENGR 596 and is required to work off-campus to fulfill internship requirements (for

graduate engineering students only). ENGR 596 CPT Contract required.

the student is registered for GRSC 596 and is required to work off-campus to fulfill internship requirements.

At the location of: ________________________________________________________________________________

Name of Company

Comments:______________________________________________________________________________________

_______________________________________________________________________________________________

Academic Advisor / Internship Coordinator

Signature