ISO Curricular Practical Training (CPT)

Curricular Practical Training (CPT) Application

International Student Office ~ Gordon College
Full Legal Name
Gordon E-mail
first.last@gordon.edu
Academic Level

Undergraduate Student (must have completed 2 semesters with current SEVIS ID before CPT)Master’s-Level Student (may begin CPT right away in first term)
Does Your Major Require An Internship or Practicum?

YesNoI'm Not Sure
What is Your Major?
Organization (Company) Name
Organization (Company) Address

Street Address

Street Address Line 2

CityState

Zip Code
Please Upload Evidence of the Company's Offer

Cancelof
Please Specify How This Role and Job Responsibilities Are Related to Your Major Course of Study
Start Date Of CPT

MonthDayYear
Date
End Date Of CPT

MonthDayYear
Date
Hours Per Week

PART-TIME CPT~ 20 hours/week or less (allowed for an unlimited number of weeks/months)FULL-TIME CPT~ 21 hours/week or more (only allowed for 11.5 months total, or else forfeit OPT)
Advisor Information
Advisor Name
Department
Advisor Email Address
Please confirm that this address is entered correctly. If it is not, this form will not be sent to your advisor.
Student Statement & Signature
Signature

Clear
Date

MonthDayYear
Date
How Will CPT Appear on Your Transcript? (Please Discuss This With Your Advisor)

COE 4250 (credits with CCI ~ Handshake > Career Ctr > Experien. > Request Experien. > 0-credit (F1 Visa))_ _ _ 425 or 426 (2-4 credits ~ Departmental Internship)EDU 590 (3 credits with Grad. Ed.)
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Curricular Practical Training (CPT) Application