ࡱ> OQN I(bjbj|| 4*ūgūg2V V 888LLLL,xL%&$$$$$$$$'|*X %Q8" %9Z%%%%88$%$%%:#, O$4q1L:# $p%0%#R*?*O$*8O$% % %F%*V X :  International Student Services OPTIONAL PRACTICAL TRAINING (OPT) APPLICATION Rev. 05/2021 STUDENT SECTION - (ALL BLANKS MUST BE COMPLETED) Name________________________________________ NSU ID# __________________________ Address______________________________________ E-mail____________________________ ______________________________________ Major_____________________________ Home Phone_________________________________ Work Phone_________________________ Level of Study qUndergraduate qGraduate Have you held a Graduate Assistantship? qYes qNo If  yes , please list the semesters: If you are a graduate student who is NOT graduating, have you completed all coursework? qYes qNo Employment is defined as the part-time or full-time rendering of services for compensation, financial or otherwise. Please answer the following questions, which will help determine whether or not you have maintained your lawful F-1 status and are eligible for the benefit of applying for OPT: I have not been employed off-campus without written authorization from the Designated School Official on my I-20, or an EAD from the United States Citizenship and Immigration Services (USCIS): qTrue qFalse I have not been employed on campus more than 20 hours per week while school was in session (fall and spring semesters): qTrue qFalse If the training is approved, I understand that I am responsible for maintaining my F-1 status. I will notify the International Student Services office if I should move. I understand that OPT permission is given only for the employer below, and should I wish to make any changes to this training, I will receive authorization from the ISS office. If I am applying for OPT, I am responsible for insuring that the employment is appropriate for my degree, as required by U.S. law. By signing my name below, I am certifying that the information provided on this form is correct, and that I have read the OPT Information Application and understand the duration and limitations of my training as it relates to my F-1 status. Signature__________________________________________________ Date: _______________ Printed Name_______________________________________________  OPTIONAL PRACTICAL TRAINING (OPT)- APPLICATION Length of training: _______________ (12 month maximum) Dates: from____________ to _____________ NOTE: Be sure to read the entire OPT information sheet that is attached to this form. If there is no sheet, you can obtain one from the ISS office or our web site. Please keep in mind that it takes at least three months for OPT applications to be processed by the USCIS. Advisor Approval (undergraduate students) OR Graduate Program Coordinator (graduate students) Students Anticipated Graduation Date: _______________________ With my signature below, I recommend that this student participate in OPT. 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