Curricular Practical **How to submit completed application ...
1
IO USE ONLY Date received: ____________ Pick up on : ____________ Advisor initials: ____________ Northwestern University - The International Office 630 Dartmouth Place, Evanston, IL 60208-2147 Ph: (847) 491-5613 - Fax: (847) 556-6006 www.northwestern.edu/international - [email protected] STUDENT INFORMATION First Name: SEVIS ID: Student ID: Family Name: Degree level: Major: Minor: Name of Company/Institution: Full Time (21 hours per week or more) Part Time (20 hours per week or fewer) NU VERIFICATION Option 1: Work is needed to fulfill requirements for an established course Option 2: Work is part of an established co-op, clinical training program or other required training program If other, list course: Option 3: Graduate student who is registered for thesis, dissertation, or continuation courses and the work is necessary for the completion of the thesis, dissertation, or degree. If other, list course: If other, list course: *for Undergraduates ONLY* - if course is listed in "other" and taken in quarter directly proceeding or will be taken following work experience, indicate the quarter of enrollment. ACADEMIC NECESSITY Identify which class you will be or are registered for that necessitates CPT. I am requesting: Curricular Practical Training (CPT) Application Updated 5/2018 OFFER INFORMATION - Must match offer letter exactly Site of Activity (Complete Address): Name: Title: Signature: Date: By signing below, I also confirm that the above named student is currently enrolled as full-time and is in good academic standing. If the student indicated 'other' above, please explain how the course indicated and the associated CPT is an integral or required part of the student's program of study below: This form is required before any off-campus opportunity can be authorized for CPT. Note: CPT is authorized on a quarter-by-quarter basis. The student should fill out the top portion and then meet with one of the following NU staff (academic advisor, thesis/dissertation advisor, McCormick Career Office advisor, program director, or Chicago Field Studies advisor) for his/her signature. 1st Quarter/Semester at NU: Start Date: End date: **How to submit completed application (this form and job offer letter):** 1. During walk-in advising hours OR 2. E-mail to your full-time IO Advisor
Transcript of Curricular Practical **How to submit completed application ...
IO USE ONLY Date received: ____________
Pick up on : ____________ Advisor initials: ____________
Northwestern University - The International Office 630 Dartmouth Place, Evanston, IL 60208-2147 Ph: (847) 491-5613 - Fax: (847) 556-6006 www.northwestern.edu/international - [email protected]
STUDENT INFORMATION
First Name:
SEVIS ID: Student ID:
Family Name:
Degree level: Major: Minor:
Name of Company/Institution:
Full Time (21 hours per week or more) Part Time (20 hours per week or fewer)
NU VERIFICATION
Option 1: Work is needed to fulfill requirements for an established course
Option 2: Work is part of an established co-op, clinical training program or other required training program
If other, list course:
Option 3: Graduate student who is registered for thesis, dissertation, or continuation courses and the work is necessary for the completion of the thesis, dissertation, or degree.
If other, list course:
If other, list course:
*for Undergraduates ONLY* - if course is listed in "other" and taken in quarter directly proceeding or will be taken following work experience, indicate the quarter of enrollment.
ACADEMIC NECESSITYIdentify which class you will be or are registered for that necessitates CPT.
I am requesting:
Curricular Practical Training (CPT) Application
Updated 5/2018
OFFER INFORMATION - Must match offer letter exactly
Site of Activity (Complete Address):
Name: Title:
Signature: Date:
By signing below, I also confirm that the above named student is currently enrolled as full-time and is in good academic standing.
If the student indicated 'other' above, please explain how the course indicated and the associated CPT is an integral or required part of the student's program of study below:
This form is required before any off-campus opportunity can be authorized for CPT. Note: CPT is authorized on a quarter-by-quarter basis. The student should fill out the top portion and then meet with one of the following NU staff (academic advisor, thesis/dissertation advisor, McCormick Career Office advisor, program director, or Chicago Field Studies advisor) for his/her signature.
1st Quarter/Semester at NU:
Start Date: End date:
**How to submit completed application (this form and job offer letter):** 1. During walk-in advising hours OR 2. E-mail to your full-time IO Advisor
