Clear Form
F‐1 Curricular Practical Training (CPT) Authorization Request This information is required by the IPS Office to authorize co‐op. Note: you CANNOT start your co‐op until the Career Services Office & IPS approves your CPT International Programs and Services 200 Administration Building 1400 Townsend Drive Houghton, Michigan 49931‐1295 Tel: (906) 487‐2160 Email: ips@mtu.edu Student Information Last Name First Name Email @mtu.edu Michigan Tech ID M Date CPT Begins Date CPT Ends Full‐time
Part‐time
Company name and address Required Documents 1. 2. Employer job offer letter must be printed on the company’s letterhead and must be signed by the employer. Letter must include: a. the company’s name and street address (If the street address is not on the offer letter, you must provide some documentation of the company’s location.) b. start and end dates of employment (CPT will be authorized for one semester at a time. c. salary / wages and number of hours you will be working Confirmation from the MTU Career Center that you have registered for Co‐op credits. Completed by Student’s Academic Advisor U.S. regulations require that Curricular Practical Training be used by international students for employment that is a required or an integral part of the curriculum. Please indicate the student’s eligibility by initialing at least one of the options on page #2 and return the signed form to the student. 1. Estimated completion date all required coursework for the degree (not including report/thesis/dissertation) Date: Month/Day/Year 2. Estimated completion date of all degree requirements (including report/thesis/dissertation) Date: Month/Day/Year
I have reviewed the offer letter and confirm that the employment provides an experience which is an integral and critical part of the student’s academic program at Michigan Tech. The proposed employment is required in order for the student to obtain data/research/practical experience to complete the degree. The proposed employment is recommended in order for the student to obtain data/research/practical experience to supplement coursework for a class. Please list the required course: The proposed employment is recommended in order for the student to obtain data/research/practical experience to supplement degree. I do not support the student’s proposal to accept off campus employment at this time. **In order for the International Programs and Services Office to approve this request, the advisor must agree with at least one statement. By signing, I agree that I have met with the student, have reviewed the proposed employment or have discussed how this employment applies to the student’s academic plan. Academic Advisor Printed Name Academic Advisor Signature Date Month/Day/Year Michigan Technological University is an Equal Opportunity Educational Institution/Equal Opportunity Employer, which includes providing equal opportunity for protected veterans and individuals with disability.