CPT UPDATE FORM

Required for School of Professional Psychology & Health and ACTCM who are registered for practicum/internship/clinic at CIIS counseling centers, ACTCM clinics or elsewhere. You must be registered for the course and have a contract agreement on file to qualify. Exception is for Drama Therapy students in required pre-practicum course where they are not registered for a course, but have a contract on file in the PDT office. CPT must be reported here.

*Students in School of Consciousness and Transformation whose program requires an internship or are registered in for credit that requires CPT should fill out the CPT form on MyCIIS and make an appointment with the International Student Advisor to discuss.*

Please review the full information provided in the document called CPT Application and Information on MyCIIS. It is a LOT of information, but please do read through it.

Definition

CPT is defined as “alternate work/study, internship, cooperative education, or any other type of required internship or practicum which is offered by sponsoring employers through cooperative agreements with the school.” It is a considered type of off-campus employment authorization in the F-1 student visa category that is related to a student’s academic program whether paid or unpaid therefore ‘employer’ and ‘employment’ is used even when it is an internship/practicum/clinic and/or is unpaid.

Eligibility Requirements

1. Students must have been in full-time status for at least one full academic year. Exceptions exist for graduate students whose programs require immediate CPT.

2. In order for work to be considered permissible under CPT, it must be a required or an integral part of your degree requirement and temporary.

3. Employment authorization is employer-specific and requires an offer of employment. SSPH and ACTCM students must have a practicum contract for each site on file. Eligible SCT students must provide a letter from your potential employer (more information in application section).

4. You must be enrolled full-time during the semester(s) that you work CPT, and you must be registered for a practicum/internship course in summer semester exception for PDT students who require a pre-practicum, but are not registered. Contract must be on file in PDT Office and CPT must be reported.

5. NOTE: CPT cannot be authorized beyond the program end date of your I-20. If such a case arises, please also submit a Program Extension Form and support documentations.

Please submit documentation at least 2-4 weeks in advance of your proposed employment start date.


Curricular Practical Training (CPT) Reporting: SPPH & ACTCM Students 
 
Submit for each eligible CPT contract.
Please note that all categories with * are required.
CIIS User ID :     0  
First Name :
*
Last Name : 
*
Email Address (default) :  
Confirmation

 

*
Registration 
*

Employer / Practicum or Clinic Site Information
Employer Name :
*
Employer Address :
*
Employment Dates

These dates are written on your contract.

If the end date goes beyond your I-20 program end date, you need to first process a Program Extension request. The form is available on MyCIIS.

Start Date :
Show Calendar
End Date :
Show Calendar

Employment Details

Use of full-time CPT will affect your eligibility for OPT after graduation. Please review the CPT Application and Information form on MyCIIS. ;

*

Explain how employment is related to your course of study/degree at CIIS:
*


Updated I-20 with CPT Information

All I-20s will be updated with CPT information on page 2. If you contract dates change, please re-submit this form with the new dates. Please make comments in the "Additional Notes"  section below. Preferably students can collect their I-20 from Student Affairs in Room 302.

*

Home Address
Street Address :
City :
State :
Zip Code :
Additional Notes

 
Additional Notes :