CPT: Curricular Practical Trainingor AT: Academic Training Application

CPT: Curricular Practical Training

AT: Academic Training

Application

To be completed by international students holding either an F-1 or a J-1 student visa to request CPT or AT off-campus internship placements.

Student Information

Last Name*

First Name*

UWG Email*

@my.westga.edu

Student ID*

Graduation Semester*

Degree Level*

Bachelors

Masters

Doctoral

Certificate

Major/Program*

Semester CPT will be used: *

Fall Semester (Aug.-Dec.)

Spring Semester (Jan.-April)

Summer Semester (May-July)

Internship Information

Name of Employer*

Job Title*

Employer Address*

Number of Work Hours Per Week*

Employment Start Date*

Employment End Date

Brief Description of Type of Work*

How is this internship related to your program*

Job Offer Letter*

Drag and drop files here or

Academic Advisor Verification

I confirm that I have worked with my academic advisor/program advisor regarding the internship authorization process, and have enrolled in the class(es) recommended by my advisor. I understand I must remain enrolled in this course throughout the authorization period, otherwise my CPT authorization will be withdrawn.

ISAP will be reaching out to your advisor upon submission of this request form.

Academic Advisor's Name*

Academic Advisor Email*

@westga.edu

Student Signature*

Name or Initial

INTERNATIONAL STUDENT ADMISSIONS & PROGRAMS

Mandeville Hall * (678) 839-4780 * global@westga.edu

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