CPT: Curricular Practical Training
or
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

Drop your files here

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I must remain enrolled in this course throughout the authorization period, otherwise my CPT authorization will be withdrawn.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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CPT: Curricular Practical Trainingor AT: Academic Training Application

Student Information

Internship Information

Academic Advisor Verification

CPT: Curricular Practical Training
or
AT: Academic Training
Application