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Practical Training Type: 15. Weekly Duration of Requested Employment:  FORMCHECKBOX  Part-Time (20 hrs or less)  FORMCHECKBOX  Full-Time (more than 20 hrs)  FORMCHECKBOX  Curricular Practical Training (CPT)  FORMCHECKBOX  CPT Extension FORMCHECKBOX  Optional Practical Training (OPT)  FORMCHECKBOX  Pre-Completion Start  FORMCHECKBOX  Post-Completion Start  FORMCHECKBOX  STEM Extension 16. Requested Work Start Date (mm/dd/yyyy) FORMTEXT       17. Requested Work End Date (mm/dd/yyyy) FORMTEXT      18. Are you working on-campus now?  FORMCHECKBOX Yes,  FORMTEXT       hrs/week  FORMCHECKBOX  No19. Have you completed more than 12 months/364 days of full-time CPT?  FORMCHECKBOX  No  FORMCHECKBOX  Yes20. Have you received prior  FORMCHECKBOX  Bachelors OPT authorization?  FORMCHECKBOX  No  FORMCHECKBOX  Yes, at the  FORMCHECKBOX  Masters level.  FORMCHECKBOX  Ph.D.21. 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Sheet  FORMCHECKBOX  Proof of health insurance  OPT Only  FORMCHECKBOX  Copies: I-20s, passport, visa, I-94 (front & back)  FORMCHECKBOX  I-765 (current version)  FORMCHECKBOX  Photographs (2 with I-94 # & name on back)  FORMCHECKBOX  Check for $340.00 (Dept of Homeland Security)  FORMCHECKBOX  Previously issued EAD copies (if applicable)  FORMCHECKBOX  Special Registration Letter (if applicable) Notation on Form I-94, if appropriate   FORMCHECKBOX  Extend I-20 to _______________________  FORMCHECKBOX  Shorten I-20 to ______________________  FORMCHECKBOX  No Changes (If on CPT, not shorter than CPT end date) Notes Advisor s Initials:Date Received:Pick-Up Date:     Practical Training Data Sheet Lillian and Emanuel Slutzker Center for International Services Division of Student Affairs 310 Walnut Place |Syracuse, New York 13244-2380 TEL: 315-443-2457 | FAX: 315-443-3091 EMAIL:  HYPERLINK "mailto:lescis@syr.edu" lescis@syr.edu ^^^^ ______J`L`````FaHaaaabbbbbc c"cc$If6^8^:^\^^^^^^^^^^^ _ 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