Curricular Practical Training (CPT) Request

Curricular Practical Training (CPT) Request
STEPS TO APPLY FOR CPT:
1. Find an internship or work experience opportunity directly related to your major of study.
2. Obtain an internship offer letter on company letterhead from the employer listing the following:
  
  Job title
  Description of your duties
  Pay rate,
  Start and end dates
  Number of hours work per week,
  Exact physical address of location of employment
  Employer contact information
  Employer Identification Number
3. Complete the student portion of the CPT Request Form (this form). A PDF will be generated with all your information.
4. Schedule an appointment with the division dean/department head of your program. Bring the CPT Request form (this form) and your employer letter to the division dean (or designee) to discuss the internship opportunity and how it is related to your major field of study.
5. If the division dean (or designee) approves the employment as integral to your program of study, he/she will sign the CPT form.
6. Submit the completed CPT Request form to the International Student Program office. The International Student Program will review your CPT Request form and documents. If you are approved for the CPT, the international program advisor will add the CPT approval to your I-20 and help you with obtaining a SSN if needed.
7. Sign up for the department internship or WE-088A course. Please note if neither course is offered for that term, CPT will not be available for that term.
8. Meet with the WE-088A professor or department professor and determine your Learning Outcomes/Plan.
9. Provide the Learning Outcomes/Plan form to the International Program within 3 weeks of course start date. Failure to provide the plan may result in forfeiture of your CPT authorization and jeopardize your F-1 status.
Learn more about CPT here:

Curricular Practical Traning (CPT) Information (link)

Contact us at internationalprogram@sjcc.edu or 408-759-4499 with any questions, comments, or concerns.

DO NOT begin employment until you obtain CPT authorization on your I-20!
Name*
ID#*
Phone Number*

Area CodePhone Number
E mail*
example@example.com
Major:*
Term*
Employment Information

Please include job offer letter
Employer Name:*
Phone #:*
Employer Address:*
If employer address is different from physical work location, indicate physical site address below:
Physical Address:
Your Position Title:*
I plan to work:*

Part-Time (20 hours/week or less)Full-Time (more than 20 hours/week)
Total Number of Work Hours (during the semester):
Start Date:*

MonthDayYear
Date
End Date:*

MonthDayYear
Date
Do you have a SSN?*

YesNo
Description of work to be performed:*
Explain how this opportunity is integral/directly related to your major program of study:*
I have reviewed the CPT Information handout and certify that the above information is accurate. I understand that I must meet all the eligibility requirements and complete the CPT application steps to qualify for CPT.

I understand that starting employment without authorized approval will violate my F-1 status.
Student Signature:*

Clear
Date:

MonthDayYear
Date
To be Completed by Division Dean/Department Head
Division/Department Name:
Name of Dean/Department Head:
Curricular Practical Training (CPT) is a temporary employment option available to F-1 students who are pursuing a degree program at San Jose City College and want to gain practical training in their field of study. The student named above is interested in obtaining curricular practical training in his/her SJCC major program of study.

I have reviewed the above information and the employer job offer letter and certify that this work experience opportunity is integral and/or directly related to the student’s major program of study.

The student will earn course credit through the department for specific term listed below:
Course Name/Number
(Example: ACCTG 138, BUS 138, LASER 138)
Our department does not offer the course this term.

Student may sign up for the WE 088A course.
Dean/Department Head Signature:

Clear
Date:

MonthDayYear
Date
Should be Empty:

Curricular Practical Training (CPT) Request

Employment Information

To be Completed by Division Dean/Department Head