Computer Science Program Optional Practical Training Application Form Instructions: Practical Training (PT) is a vehicle devised by the US Immigration and Naturalization Service (INS) for foreign students (F1 visa) to gain work experience as part of their academic training. Optional Practical Training (OPT) must be recommended by the student's advisor, by the CS Practical Training Committee, by the Department Chairman, and by the International Student Affairs office, and is approved by the US Immigration Office (this latter approval takes >= 30 days). OPT is intended for work in the student's field of study, either before or after graduation, and is limited to a total of 12 months full-time employment. A student on OPT can be approved for either part-time or full-time employment, during either the academic year or on breaks (including summer break). If the applicant has previously undertaken Curricular Practical Training, the department will not normally authorize Optional Practical Training unless the student has scheduled a thesis or dissertation defense, and the advisor certifies that the required work has been completed. Before filling out the form below the student should read the departmental guidelines at http://www.cs.kent.edu/programs/grad/pt.html and obtain the Optional Practical Training Recommendation form and the Immigration and Naturalization Service form I-538 from the International Student Affairs office. The form should be filled out by the student and her/his advisor and submitted to the graduate secretary preferably one semester in advance. The application will be routed to the Chair of the Computer Science Practical Training Committee and/or the Department Chair for evaluation and approval. It should be accompanied by the Optional Practical Training Recommendation form from the International Student Affairs office, which should also be filled out by the student and his/her advisor, and the Immigration and Naturalization Service form filled out by the student. The dates and information on all forms should correspond. ======================================================================== To be filled out by student: Full Name of Student: Date of admission to the program at Kent State: Number of years in program: Periods on Graduate or Research Assistantships: Name and address of employer: Nature of employment: Number of hours per week: Beginning date: Ending date: List any previous Curriculum or Optional Practical Training undertaken and the number of hours per week: The applicant is: 1) taking a full course of study at this school ______ 2) taking less than a full course of study because 3) has completed the course of study on _________________ The applicant has scheduled a thesis or dissertations defense for: Date: Title: Committee Members: I declare that all the information given on this form is accurate. ____________________________ Signature of applicant ========================================================================= To be completed by the applicants advisor: Name of Advisor:______________________________ Please check one of the below. The student : 1) will be on optional practical training during the annual summer vacation during ________________ and intends to register for the following Fall Semester 2) will be on practical training while school is in session (work must not exceed 20 hours per week) 3) has completed all course requirements excluding the thesis or dissertation and will work 40 hours per week 4) has completed, or is expected to complete the course of study on __/__/__ Signature of advisor: _______________________________ ============================================================================ To be completed by Chair of Computer Science Practical Training Committee. The Practical Training Committee has voted to approve / deny the above application. __________________________ Signature of Committee Chair Date _________________________