Curricular Practical Training (CPT) Authorization Request

Curricular Practical Training (CPT) Authorization Request

Tiffin University | F-1 Students
Before you begin this form, please have the following documents ready to upload:
1. Signed and completed CPT Advisor Form
2. Department internship packet/academic approval document
3. Job offer letter from your employer detailing your title, start and end date, supervisor contact information, and position description
If you have any questions about Curricular Practical Training, please contact the Office of International Affairs: ia@tiffin.edu.
Name*

First NameLast Name
TU Email Address*
example@tiffin.edu
Student ID Number*
SEVIS Number*
Your SEVIS number is on your I-20 and begins with "N"
Phone Number*

Country CodeArea CodePhone Number
US Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CPT Eligibility
You must meet the following eligibility requirements to receive CPT authorization:
1. You have secured an internship/training opportunity directly related to your program of study.
2. You have been in full-time F-1 status for a full academic year (2 semesters) leading up to your requested period of CPT.
3. You are receiving academic credit/fulfilling a degree requirement of your academic program.
4. You have been enrolled in the appropriate credit(s) for the term you will engage in CPT.
5. If your CPT request is for your final term, you must be present on campus and attending in-person, as well.
Student Level*

UndergraduateGraduate
Program Start Date*

MonthDayYear
Date listed on your Form I-20
Estimated Graduation Date*

MonthDayYear
Cumulative GPA*
Employment Information
Employer*
Company Name
Employer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Name*

First NameLast Name
Supervisor's Email*
example@example.com
Employment Type*

Part Time (up to 20 hours/week)Full Time (over 20 hours/week)
Paid or Unpaid?*

PaidUnpaid
CPT Start Date*

MonthDayYear
Date
CPT End Date*

MonthDayYear
Date
Required Documents

The following documents are required for CPT approval
CPT Advisor Form*

Cancelof
Internship Packet / Academic Approval*

Please provide evidence you are registered for the course listed on your CPT Advisor Form
Cancelof
Job Offer Letter*

Cancelof
Should be Empty:

Curricular Practical Training (CPT) Authorization Request

CPT Eligibility

Employment Information

Required Documents