F-1 Optional Practical Training (OPT) Application Process

STEP 1: View online OPT workshop at http://siss.ucdavis.edu

STEP 2: Coplete an OPT !e"#est For
Complete Student Information section. Have your academic advisor /major professor and/or deans office sign
Academic Department ecommendation section.
STEP $: Coplete For %-&'( application !mployment Authori"ation Document #!AD$ Application
Chec% the &o' indicating that you are re(uesting )*ermission to accept employment.+
,n -orm I./01 2304 indicate appropriate eligi&ility codes for ,*5:
Pre-copletion OPT re(uest4 use eligi&ility code #c$ #6$ #A$
Post-copletion OPT re(uest4 use eligi&ility code #c$ #6$ #7$
%portant note: 8hen signing the &ottom of the -orm I./014 your signature must fit &et9een the lines on the
form. If your signature is too &ig4 your application 9ill &e returned and delay your 9or% permission.
STEP ): *ake an appointent with +o#r %nternational St#,ent A,-isor .+ calling (($/) &(2-/0') E1t2 /2
7ring the follo9ing documents to the appointment:
Completed ,*5 e(uest form
Completed -orm I./01 #!AD application$
Current S!:IS I.;<
=ne'pired passport 9ith I.>? card
; passport photos #see @uic% Chec%list &elo9 for *hoto guidelines$
STEP (: 3o#r %nternational St#,ent A,-isor will eail +o# when +o#r new %-2/ is rea,+2
Allo9 1./ &usiness days for processing time.
STEP ': !e-iew all the re"#ire, ,oc#ents (see checklist .elow) an, ail the to the a,,ress .elow2
If the mailing address you provided on your I./01 application is not in Cali4ornia4 see your SISS Advisor.
3o#r OPT application #st .e sent to 5SC%S no later than $/ ,a+s a4ter the ,ate o4 %-2/ iss#ance (see
61/ on %-2/)2 %4 +o#r %-2/ is ore than $/ ,a+s ol,7 see +o#r S%SS A,-isor 4or an #p,ate, %-2/2
8#ick Checklist:
-orm I./01 #!AD application$
Chec% or money order for AB6C< paya&le to =.S. Department of Homeland Security
; photos #ta%en 9ithin the past 6< days4 9hite &ac%ground4 ;+ ' ;+D see *hoto guidelines$
http://travel.state.gov/pdf/*hoto.@uality.e(uirements.pdf
*rint lightly in pencil on &ac% of photos S!:IS ID24 full name4 and date of &irth
*hotocopy of ne9 I.;< 9ith ,*5 recommendation #E,5 original$
*hotocopy of passport &iographical information4 sho9ing passport e'piration date
*hotocopy of front and &ac% of I.>?
*hotocopy of C*5 I.;<s for current program of study #if applica&le$
Fa%e copies of application materials su&mitted to =SCIS and %eep for your records
A -ees are su&ject to change. -orm I./01 fee can &e found under )-orms+ and )I./01+ on the =SCIS 9e&site at
999.uscis.gov
!eg#lar 52S2 Postal 9eli-er+:
(Certified Mail/Return Receipt recommended)
=.S. Citi"enship and Immigration Services
#=SCIS$ Attn: I./01 =nit
California Service Center
*.,. 7o' ;3;C3
*hoeni'4 AG C1<60
E1press *ail 9eli-er+:
#e.g. -ederal !'press$
=.S. Citi"enship and Immigration Services
#=SCIS$ Attn: I./01 =nit
3C;< !. S%yhar&or Circle S4 Suite 3<<
*hoeni'4 AG C1<6?
A4ter +o# ail o#t +o#r OPT application
Hou 9ill receive an ,*5 receipt called )Eotice of Action+ or form I./>/4 9hich 9ill include a case num&er or
8AC 2. Hou can chec% the status of your application online at https://egov.immigration.gov/cris/jsps/inde'.jsp using
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 10
your 8AC 2.
Please contin#e on .ack2
!eg#lations 4or *aintaining F-1 Stat#s :hile on OPT
OPT !ESPO;S%<%=%T%ES:
3. Hou may not &egin ,*5 until you have received your !AD card4 your license to 9or% on ,*54 from =SCIS and
until the ,*5 start date on the !AD card. 5he !AD card 9ill have your photograph and signature4 and 9ill also
indicate the e'act dates of your authori"ed employment. -or current processing times4 visit
https://egov.uscis.gov/cris/jsps/ptimes.jsp.
;. !mail your International Student Advisor an electronic copy of your !AD card.
6. Continue to 9or% in your field of study and at the correct degree level. Hou cannot have more than >< days of
unemployment during the entire 3;.month ,*5 period.
?. eport changes of your address4 employment status4 employer name and address to SISS 9ithin 1/ ,a+s2
http://siss.ucdavis.edu/opt.cfm
OPT !EPO!T%;> !E85%!E*E;TS:
eport the follo9ing information to SISS 9ithin 3< days of any change on ,*5: http://siss.ucdavis.edu/opt.cfm
Kegal name
esidential or mailing address
!mail address #permanent4 non.=CD$
!mployer name and address
!mployment /=nemployment status
Departure from the =.S. #permanent leave$
T+pes o4 acti-it+ that constit#te eplo+ent while on OPT
An -.3 nonimmigrant on post.completion ,*5 avoids LunemploymentL 9hen his or her activity constitutes Lemployment.+
S!:*Ms ,*5 *olicy Nuidance O/.;.3P states that the follo9ing activities are considered allo9a&le employment on &oth pre.
completion and standard post.completion ,*54 provided that the jo& is directly related to the studentMs program of study.
8hile a student engages in such activity during a period of post.completion ,*54 he or she is not considered
LunemployedL:
!eg#lar pai, eplo+ent in a position directly related to the studentMs program of study.
o -or post.completion ,*5
o Students may 9or% for multiple employers4 as long as it is directly related to the studentMs
program of study.
Pa+ent .+ #ltiple short-ter #ltiple eplo+ers
:ork 4or hire (i2e2 contract work)
Sel4-eplo+e, .#siness owner
Eplo+ent thro#gh an agenc+
Vol#nteers or #npai, interns
For ore in4oration: http://siss.ucdavis.edu/documents/optQpolicyQguidanceQ<?;<3<.pdf
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R ;
Phot
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SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R 6
F-1 Optional Practical Training (OPT) >eneral %n4oration
!EV%E: OPT :O!@S?OP AT ?TTP:AAS%SS25C9AV%S2E95
,ptional *ractical 5raining is an employment &enefit of the -.3 status. It allo9s -.3 students to gain practical employment
e'perience in their field of study at the appropriate degree level4 for a ma'imum of 3; months. 5he 9or% authori"ation for
,*5 is the !mployment Authori"ation Document or !AD card4 issued &y =SCIS #=.S. Citi"enship and Immigration
Services$.
Post-copletion OPT: ,*5 authori"ed for 9or% Aafter the students program completion date.
A5hesis.pending graduate students 9ho have completed all course9or% may apply for post.completion ,*5. 5he I.;<
program end date 9ill &e shortened to the last day of final e'ams of the current (uarter or summer term. 5he I.;< program
end date cannot &e e'tended if a student cannot complete program &y the anticipated program end date. Student must
complete program &y the ,*5 e'piration date.
Pre-copletion OPT: ,*5 authori"ed for 9or% &efore the students program completion date.
>ra,#ate st#,ents who ha-e coplete, all co#rsework an, ha-e onl+ thesis or e"#i-alent reaining can
apply for full.time pre.completion ,*5 and 9or% full.time throughout the academic year. Note, however, that the
wor ha! to "e completed "efore completion of the academic pro#ram. If the employment 9ill continue after
program completion4 a separate post.completion ,*5 application 9ith a ne9 application fee has to &e filed 9ith
=SCIS. If eligi&le4 you may 9ant to consider applying for C*5 instead of using up your ,*5 &efore completing
your academic program. Eote4 ho9ever4 that 3; months or more of full.time C*5 9ill ma%e you ineligi&le for ,*5.
eminder: students are not eligi&le for C*5 9hen on -iling fee.
5n,ergra,#ate st#,ents can only 9or% up to ;< hours per 9ee% 9hile school is in session and full.time during
official school &rea%s if student is eligi&le to register the follo9ing term. If eligi&le4 you may 9ant to consider
applying for C*5 instead of using up your ,*5 &efore completing your academic program. Eote4 ho9ever4 that 3;
months or more of full.time C*5 9ill ma%e you ineligi&le for ,*5.
OPT Eligi.ilit+:
An -.3 student in good standing 9ho has &een enrolled on a full.time &asis for one full academic year #> months$ and
9hose proposed employment 9ill &e directly related to their major field of study and appropriate for someone 9ith their
level of education. Eote that students are not re(uired to have a jo& offer 9hen they apply for ,*5.
=pon completion of a degree at a higher educational level4 students are eligi&le to apply for another 3; months of ,*5
#e.g. if youre o&taining ,*5 no9 on the &asis of your &achelors degree4 if you later o&tain a masters degree4 you 9ill &e
eligi&le to apply for another 3; months of ,*5 on the &asis of the masters degree$.
Students are E,5 eligi&le if they used 3; months or more of full.time Curricular *ractical 5raining #C*5$ or if they are )out
of status+ #have violated their immigration status$.
1&-onth OPT e1tension Eligi.ilit+:
!ffective April C4 ;<<C4 a student 9ith a degree in a S5!F #science4 technology4 engineering4 mathematics$ field can
apply for a 3/.month e'tension of their 3; month ,*54 for a ma'imum of ;> months. In order to (ualify4 a student must
meet all of the follo9ing re(uirements:
5he student is already participating in approved post.completion ,*5 and 9or%ing in a jo& directly related to the
students major area of studyS
5he student has earned a &achelors4 masters or doctoral degree listed on the S5!F Designated Degree
*rogram Kist #visit http://999.ice.gov/sevis for the S5!F degree list$S
5he student has accepted a jo& offer or is already 9or%ing for a =.S. employer registered in the governments
!.:erify employment verification program #visit http://999.uscis.gov for information a&out !.:erify$S
5he employer agrees to report the termination or departure of an ,*5 employee to the DS, at the students
school #i.e. International Student Advisor at SISS$S
5he student has not previously received a 3/.month ,*5 e'tension after earning a S5!F degreeS and
5he student has maintained -.3 status.
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R ?
:hen to Appl+:
Apply earlyT Standard processing time for an I./01 application is B/ ,a+s from the date of receipt &y =SCIS. All students
are re(uired to 4ile 4or %-&'( with 5SC%S within $/ ,a+s o4 S%SS %nternational St#,ent A,-isorCs recoen,ation
,ate 4or OPT2 $%ample& 'f ('(( i!!ue! )our *+, '-20 on .//0/11, )ou mu!t appl) for *+, 0$1*R$ 2//0/11.
Post-copletion OPT:
@ualified students can apply for 3; months of ,*5 up to >< days prior to their program end date and 9ithin 0<
days after program completion. *ost.completion ,*5 applicants may not re(uest an ,*5 start date that is more
than 0< days after the students program end date.
Pre-copletion OPT:
Students can apply onl) if they have completed all course re(uirements for the degree4 e'cluding
thesis/dissertation4 or the e(uivalent4 up to 3;< days prior to the re(uested ,*5 start date.
Progra Copletion 9ate on %-2/ (6():
Nraduate students: Hour completion date is considered to &e the last day of final e'ams of the (uarter or summer term
you fulfill your degree re(uirements.
=ndergraduate students: Hour completion date is considered to &e the last day of final e'ams of the (uarter or summer
term you fulfill your degree re(uirements.
Selecting an OPT Start 9ate:
Hou have to select your ,*5 start date4 9hich must fall 9ithin 0< days from your program completion date on the I.;<. If
you are applying late4 it is generally safer to choose a later date in your grace period to ensure receipt of your !AD card
&y your re(uested ,*5 start date. Note& the *+, !tart date will "e the date )ou re3ue!ted or the date of 4(C'( approval,
whichever i! later.
!'ample:
,livias program completion date: Uune 3<4 ;<33
,livias ,*5 start date: Uuly ;<4 ;<33
,livia receives !AD card: August 14 ;<33
'/ ,a+s #from 0/3</33$
0/3</33 //;</33 C/1/33
Progra copletion OPT EA9 (eligi.le to work on 0A(A11 only)
:hen can % .egin OPTD
Hou can onl) &egin employment and including volunteering if you have met all the follo9ing re(uirements:
Hou have received your !AD #!mployment Authori"ation Document$ card
5he date of your authori"ed employment period has &egun #see dates on your !AD card$
Hou have completed the re(uirements for your program of studyA
8or%ing on campus is not allo9a&le after your I.;< program completion date.
Aefer to section on 9hat happens if you dont complete your degree re(uirements &y the program end date on your I.;<.
5here may &e some implications if you plan to apply for an ,*5 e'tension.
Canceling or Changing OPT ,ates:
,nce your ,*5 application is approved &y =SCIS4 it may not &e changed or canceled. 5his means that once an !AD
card has &een issued4 situations such as une'pected delays in completing degree re(uirements4 ina&ility to find an
appropriate jo& or loss of a jo& may result in loss of other9ise eligi&le time to 9or%.
Note& 'f )ou have concern! a"out cancelin# )our *+, re3ue!t or chan#in# )our *+, !tart date, contact )our 'nternational
(tudent 5dvi!or at ('((. ,he '-672 application fee i! non-refunda"le.
Changing Eplo+ers while on OPT:
Hou can change employers or have multiple employers during your 3; months of ,*5 as long as employment is directly
related to your field of study and appropriate 9ith your degree level. As of April C4 ;<<C4 students must report any change
in employment status and employer name and address to the school that maintains their immigration record #i.e. SISS$
9ithin 3< days. See complete reporting re(uirements for more details.
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R 1
5neplo+ent while on OPT an, Vol#nteer :ork:
,*5 employment must &e a minimum ;< hours per 9ee%. !ach day during your post.completion ,*5 period 9hen you do
not have (ualifying employment counts as a day of unemployment. 5ime spent outside the =.S. during your ,*5 period
9ill also &e considered unemployment unless you are traveling on &usiness or your employer has authori"ed your leave.
:olunteering in your field of study at the correct degree level at least ;< hours per 9ee% counts as (ualifying ,*5
employment.
Important note: Students authori"ed for 3; months of post.completion ,*5 cannot have more than a total of >< days of
unemployment 9ithout jeopardi"ing their statusVas% your SISS advisor a&out volunteer 9or%. *re.completion ,*5
applicants are not su&ject to unemployment rules.
Eplo+ent !elate, To *aEor:
,*5 is intended to allo9 -.3 students to gain e'perience in their field of study. 8or%ing in a jo& that is not related to your
major is a violation of -.3 status. SISS suggests maintaining proof of each jo& you have on ,*5. Weep record of the
position title4 duration of employment4 supervisors information and a description of the jo&. If its not clear from the jo&
description ho9 your jo& is related to your field of study4 o&tain an official letter from your employer 9ith an e'planation of
ho9 your degree is related to the 9or% performed. Have the letter#s$ 9ith you at the time of travel outside the =.S.
5na.le to Coplete 9egree !e"#ireents <+ Anticipate, Progra Copletion 9ate:
SISS can e'tend your I.;< document ,EKH if you su&mit your e'tension re(uest 7!-,! your program completion date
on your I.;< #see 21 on page 3 of your I.;<$.
Note& ,he!i!-pendin# !tudent! who have applied for po!t-completion *+, do not have to e%tend their pro#ram per ($8+
+olic) 9uidance 0:01-02, !ection 7.6.
5o e'tend your I.;<:
complete a )e(uest for I.;</DS.;<3> D Continuing Students+ form4 do9nloada&le from
http://siss.ucdavis.edu/studentQforms.htm
chec% the )e'tension+ option
have your major professor or academic advisor approve of the e'tension &y signing the form
provide rene9ed financial support #contact your International Student Advisor to discuss the length of the
e'tension to determine the amount of funding you 9ill need to sho9 for the I.;< e'tension$
Hou can &egin employment on your ,*5 start date 9ith your !AD card as long as you continue to ma%e normal progress
to9ards degree completion #i.e. thesis/dissertation or course9or%$. E-en i4 +o# ha-e applie, 4or an %-2/ e1tension7 you
9ill not &e a&le to &egin full.time employment on approved ,*5 until you complete degree re(uirements. In other 9ords4
you can only 9or% part.time #no more than ;< hours/9ee%$ during the academic year and full.time during official school
&rea%s.
Earl+ 9epart#re 4ro the 52S2 while on OPT:
Students must inform SISS if they plan on departing the =.S. permanently 9hile on ,*5. See )-.3 Student Departure
from the =.S.+ page: http://siss.ucdavis.edu/student.departure.form.cfm
Trans4erring to Another School or <eginning ;ew Aca,eic Progra:
If you plan on transferring to another school you 9ill need to contact your International Student Advisor to coordinate the
release of your S!:IS record. Hou may re(uest to also have your S!:IS record released 9hile you are on ,*5 or during
your 0<.day grace period. ,nce the S!:IS record is released you cannot continue 9or%ing on ,*5. -or transfer
procedure information see SISS 5ransfer *age for more information: http://siss.ucdavis.edu/transferring.from.uc.
davis.cfm
Tra-el A,-isor+ while on OPT:
8hile on ,*54 youre still considered to &e maintaining your -.3 status4 so you may travel a&road and re.enter the =.S.
As the travel documents depend on the timing of your re.entry to the =.S.4 read carefully the travel documents that are
re(uired for travel a&road &ased on your program completion and ,*5 application status. Students 9ho do not meet
these re(uirements ma) not &e allo9ed to re.enter the =.S. 8hile re.entry to the =.S. is never guaranteed #even if you
have all the re(uired documents$4 SISS strongly recommends against traveling to9ards the end of your ,*5 period.
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R 0
Tra-el A,-isor+ while on OPT contin#e,:
emem&er that time spent outside the =.S. during your ,*5 period 9ill &e considered unemployment unless you are
traveling on &usiness or your employer has authori"ed your leave. If you travel 9hile employed either during a period of
leave authori"ed &y your employer or as part of your employment4 SISS suggests o&taining a verification letter from the
employer that specifies the purpose and the dates of your trip. Consult 9ith SISS anytime you travel outside the =.S.
After copleting +o#r progra an, after getting +o#r EA9:
a valid passport #SISS recommends that your passport &e valid for 0 months at the time of re.entry$
a valid -.3 visa #unless eligi&le for automatic revalidation of an e'pired visa$
a S!:IS I.;<4 endorsed for travel &y the International Student Advisor 9ithin the last 0 months
an !mployment Authori"ation Document #!AD$
an employment offer or verification letter. Include position title4 dates of employment4 dates of authori"ed leave4
supervisors name and contact information on company letterhead.
After copleting +o#r progra an, before getting +o#r EA9:
a valid passport #SISS recommends that your passport &e valid for 0 months at the time of re.entry$
a valid -.3 visa #unless eligi&le for automatic revalidation of an e'pired visa$
a S!:IS I.;<4 endorsed for travel &y the International Student Advisor 9ithin the last 0 months
,*5 eceipt Eotice #I./>/$
an employment offer letter
Before copleting +o#r progra an, before getting +o#r EA9:
a valid passport #SISS recommends that your passport &e valid for 0 months at the time of re.entry$
a valid -.3 visa #unless eligi&le for automatic revalidation of an e'pired visa$
a S!:IS I.;<4 endorsed for travel &y the International Student Advisor 9ithin the last 0 months
,*5 eceipt Eotice #I./>/$
an employment offer letter
proof of registration #unofficial transcript from SIS8!7 or official transcript from the egistrars ,ffice$
graduate students should consider &ringing a &rief description of their research or any recent research pu&lication
#chapter from your dissertation$
?ealth %ns#rance:
Students 9ho have completed their academic program are no longer eligi&le for =SHI* or NSHI* D =niversity Health
Insurance. -or more information a&out health insurance: http://healthcenter.ucdavis.edu/insurance/departing.html
St#,ents on OPT with Pen,ing ?-1< Petitions (CAP >AP E1tension):
Students currently on ,*5 9ith pending or approved H.37 petitions #regardless of degree$4 are eligi&le for an automatic
e'tension of status and employment authori"ation if the follo9ing conditions are met:
5he student is a &eneficiary of an H.37 petition filed &efore the end of the students la9ful -.3 statusS
5he H.37 petition re(uests a change of status 9ith an effective date of ,cto&er 3 of the follo9ing fiscal yearS
5he student has maintained statusS and
5he H.37 is not rejected4 denied or revo%ed.
If =SCIS approves the H.37 petition4 the student 9ill have an e'tension that allo9s them to stay in the =.S. until the
re(uested start date indicated in the H.37 petition ta%es effect. %4 OPT is e1ten,e, ,#e to cap gap7 B/-,a+ liitation o4
#neplo+ent applies2 See section on #neplo+ent2
Students cannot travel and re.enter the =.S. during this automatic e'tension period. Tra-eling while an ?-1< petition is
pen,ing a+ ipact +o#r application an, .e consi,ere, an a.an,onent o4 the ?-1< petition2 Applicants sho#l,
,isc#ss all tra-el plans F tiing with attorne+ an, eplo+er that 4ile, ?-1< petition2
In case of an H.37 9ithdra9al or denial4 ,*5 authori"ation ends 3< days after the date of the 9ithdra9al or denial.
Students grace period ends 0< days after the date of the 9ithdra9al or denial.
Important note: (tudent! !hould con!ult the emplo)er who filed their ;-10 for further information a"out whether the) are
eli#i"le for the automatic e%ten!ion of their !ta) and emplo)ment.
Change o4 Stat#s Application (i2e2 ?-1<7 G-17 F-27 52S2 Peranent !esi,ent7 etc2)
SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R /
Eotify SISS if you apply for a change of status to another immigration status. 8hen your application is approved4 provide
SISS an electronic copy of your I./>/ approval notice4 I.>? card #front and &ac%$4 and or #reen card.
F-1 Optional Practical Training (OPT) !e"#est For
Application 4or: Pre-copletion Post-copletion
St#,ent %n4oration
Kast Eame Gowri Shankar -irst Eame Srihari
Student ID
996239066
!mail non.=CD
srihari221987@gmail.com
Current I.;< e'piration date 06/14/2012 *assport e'piration date 10/12/2018
FF/DD/HHHH FF/DD/HHHH
Have you &een authori"ed for ,*5 in the pastX Eo If yes4 9hen

#-rom$ FF/DD/HHHH #5o$ FF/DD/HHHH
If previously approved for ,*54 on 9hich degree level 9as it &asedX 7achelors Fasters *hD
H!e"#este, OPT start ,ate 08/15/2011 e(uested ,*5 end date *re.completion ,*5 only
FF/DD/HHHH FF/DD/HHHH
8ill you &e 9or%ing on campus during your last (uarterX Eo Hes4 until:
FF/DD/HHHH
Student :erification: I verify that the a&ove information is true and correct. I understand the responsi&ilities re(uired for
maintaining -.3 status during my period of ,*5 authori"ation. If there are any changes to this information I 9ill contact
SISS and update my information at the ,*5 reporting 9e&site. #http://siss.ucdavis.edu/opt.cfm$
Students Signature Date 05/09/2011
FF/DD/HHHH
<,hi! date cannot "e chan#ed once *+, application ha! "een approved ") 4(C'(. Note& ,he!i!-pendin# !tudent! who
have applied for *+, do not have to e%tend their pro#ram per ($8+ +olic) 9uidance 0:01-02, !ection 7.6
Aca,eic 9epartentA9eanCs O44ice !ecoen,ation
,*5 is an off.campus employment &enefit. It allo9s -.3 students to gain practical employment in their field of study at the
appropriate degree level4 for up to 3; months. 5he 9or% authori"ation for ,*5 is the !mployment Authori"ation Document
or !AD card4 issued &y =.S. Citi"enship and Immigration Services. A student can only &egin employment 9ith the !AD
card after the ,*5 start date. *lease confirm students program or course9or% completion &elo9S any changes to the
information re(uire a ne9 re(uest or 9ritten confirmation from the advisor. HH%igration reg#lations re4er to the ,ate
o4 copletion o4 all ,egree re"#ireents7 not to the ,ate a st#,ent participates in gra,#ation cereon+2 Student
must continue to ma%e normal progress to9ards degree completion and inform SISS of degree completion.
Students Fajor
MA
Degree ,&jective 7achelors Fasters *hD
AA!'pected completion date
08/01/2011
Is the student registeredX Hes Eo
FF/DD/HHHH
Has this student applied for filing feeX graduate students only Hes Eo
If the student is re(uesting )pre.completion+ ,*54 has the student completed all re(uired coursesX Hes Eo
If yes4 course9or% completed on:
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HHH<oth signat#res are re"#ire, 4or 5n,ergra,#ate st#,entsHHH
)I here&y confirm that the information provided a&ove is true and correct. I 9ould li%e to recommend that this student &e
allo9ed to re(uest ,ptional *ractical 5raining in order to see% employment in his/her field of study.+
Aca,eic 9epartent
Advisors Eame
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%530& 752'2309
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Advisors Signature Date
05/09/2011
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Advisors Eame

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SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R C
Advisors Signature Date

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SISS4 =C Davis4 =niversity House4 ,ne Shields Avenue4 Davis4 CA >1030 I 16<./1;.<C0? I sissJucdavis.edu
Rev. Dec 2010 *age R >