Office of Global Services, 405 Ell Hall, 360 Huntington Ave, Boston, MA 02115
northeastern.edu/ogs | ogs@northeastern.edu | (p) 617.373.2310 | (f) 617.373.8788
Curricular Practical Training (CPT)
Authorization Request Form for
Undergraduate DMSB Students
Undergraduate DMSB Students
Under
Who should complete this form?
All eligible F-1 students in the D’Amore-McKim School of Business who intend to participate in Curricular Practical Training
(CPT).
Is there anything I should know before completing this application?
Students cannot engage in CPT until they receive written authorization from the Office of Global Services (OGS) and
may only work within the dates specified on the new I-20 that they will be issued. Working without first obtaining
authorization from the OGS or working outside of the dates authorized by the OGS is a serious violation that could
result in SEVIS termination.
If you are not pursuing a co-op, the course that requires CPT must also be a requirement of your academic program.
Any additional training dates or orientation days must be authorized in advance.
F-1 students who engage in more than 364 days of full-time CPS authorization per degree level will lose their Optional
Practical Training (OPT) eligibility. It is the responsibility of the student to track their CPT usage.
How do I complete and submit this application?
Print the Curricular Practical Training (CPT) Authorization Form and have the second page completed by your designated
advisor (co-op advisor for co-op requests and academic advisor for all others). Once this form is completed and signed, you
must log into the myOGS e-form, upload the completed CPT Authorization Request Form, along with other applicable
documents, and submit the e-form. The e-form can be found at:
https://myissi.northeastern.edu/istart/controllers/client/ClientEngine.cfm?serviceid=EFormF1CPTandJ1ATRequest2ServicePro
vider
What other documents will I need to submit?
Copy of biographical page of valid passport
Copy of I-94 that indicates “Class of Admission” as “F-1” and “Admit Until Date” as “D/S”
Program Extension: If you’re requested CPT dates go beyond the program end date on the first page of your I-20, you
must submit a program extension before submitting a CPT request. All CPT requests that go beyond the program end
date without an extension request will be automatically denied.
Other documents as prompted on e-form
How do I know if I am authorized?
Students will receive an email from the OGS when their new I-20 is ready for pick up. The processing time is 10 business days.
You must pick up your documents from the OGS prior to your start date and may only work within the CPT dates reported on
your I-20. Please remember to keep all previous I-20s.
Important: Incomplete or inaccurate requests will be denied and need to be resubmitted. Please ensure this form is
completed entirely and accurately.
Page 1 of 2
Office of Global Services, 405 Ell Hall, 360 Huntington Ave, Boston, MA 02115
northeastern.edu/ogs | ogs@northeastern.edu | (p) 617.373.2310 | (f) 617.373.8788
Curricular Practical Training (CPT)
Authorization Request Form for
Undergraduate DMSB Students
Undergraduate DMSB Students
Under
The student below wishes to apply for Curricular Practical Training (CPT). CPT authorization allows the student to engage in practical
training, paid or unpaid, that is an integral part of an established curriculum and it directly related to the major area of study. The
goal of CPT must be to advance the student in his/her academic program in a definable way. Employment for the sole purpose of
earning money or to gain experience is not an appropriate use of CPT. Please complete the following information to help us
determine whether the proposed activity meets the U.S. Department of Homeland Security requirements for CPT authorization.
Student Name: _______________________________________________________________________________________________
Northeastern ID: _____________________________________ Major: ______________________________________________
The student has completed one academic year: Yes No*
Primary Employer Information (who will be paying the student. This will be the information on the I-20.)
Name of Organization: _________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
Street City State
Zip Code
Secondary Employer Information (where the student will be physically working. Only required if this differs from the primary employer.)
Name of Organization: _________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
Requested CPT Start Date: _________ /_________ /__________ Requested CPT End Date: _________ /_________ /__________
Please list any additional training/orientation dates (if applicable): ______________________________________________________
Part-time (20 hours per week or less) Full-time (More than 20 hours per week)
Name: _____________________________________________________ Email: ________________________________________
Is the student currently registered in Placepro or Banner for all applicable terms? Yes No*
*If the student is not currently registered in Banner or Placepro, their request will be denied. Registration must be complete before request can be submitted.
Please provide the name and code of the course that requires the student to engage in CPT:
Course Name: ________________________________________________________ Course Code: ___________________________
If the course listed above is not a co-op course, I certify by checking this box that the course is a requirement of the
student’s academic program.
As the student’s advisor, I hereby certify that I understand the eligibility requirements for CPT as outlined above. I have reviewed the
job offer letter and consider the above practical training to be an integral part of the student’s curriculum. To the best of my
knowledge all of the above information is accurate.
Advisor Signature: _______________________________________________________________ Date: ______________________
Part I: Student Information (to be completed by the student)
Part II: Employment Information (to be completed by the Advisor)
Month
Day
Year
Month
Year
*If the student has not completed one academic year the request will be
denied. Exceptions will only be made for graduate programs that have
previously been approved by OGS.
Last/Family Name
First/Given Name
Middle Name
State
Street City
Zip Code
Part III: Advisor Information and Authorization (to be completed by the Advisor)
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