Curricular Practical Training (CPT) Request Form
Curricular Practical Training (CPT) is a type of off-campus employment authorization that enables international students in F-1 visa status to take part in an academic internship, clinical, field work or practice experience integral to their curriculum. Authorization for such activities is needed, whether or not the experience is paid.

FALL CPT requests should be submitted in late APRIL (following registration week).
SPRING CPT requests should be submitted in late NOVEMBER (following registration week).

Student Name *
Your answer
Major/Program *
Your answer
Major/Program Advisor *
Your answer
CPT Course Information
The following information is required for CPT authorization.
CPT Course #1 Information (ex. NURS 300 Intro Discipline Nursing) *
Your answer
CPT Course #1 Start Date *
MM
/
DD
/
YYYY
CPT Course #1 End Date *
MM
/
DD
/
YYYY
Where will you be doing your upcoming CPT #1 placement? (ex. Strong Memorial Hospital) *
If you're not sure yet, write "Unsure."
Your answer
Will this CPT #1 experience be part-time (20 hours or less per week) or full-time (more than 20 hours per week)? *
Are you registered for the corresponding coursework for CPT course #1? *
Are you taking a second course requiring CPT this semester?
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