Change of CPT End Date Request
Complete this request to edit your current CPT end date or to cancel your CPT authorization. *We cannot guarantee CPT cancellation requests that are not submitted within 14 days of requested cancellation date. Failure to request CPT cancellation prior to 7 days before the start of your approved CPT will result in you being charged for your CPT course (BA 6000Z). We cannot edit CPT dates where the end date has already passed*
Student Name
*
First Name
Last Name
Student ID Number
*
SEVIS ID Number
*
Student Email
*
example@trine.edu
Employer Name
*
Have you already started working?
*
Please Select
Yes
No
Current CPT Start Date listed on your I-20
*
-
Month
-
Day
Year
Date
Current CPT End Date listed on your I-20
*
-
Month
-
Day
Year
Date
Requested CPT End Date
*
-
Month
-
Day
Year
Date
Why are you requesting a change to your CPT end date?
*
H1B Approval/Change of Visa Status
Graduation
Change in Employment Dates
International Travel
Change of Status Visa Approval Documentation
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What date are you leaving the US?
*
-
Month
-
Day
Year
Date
Are you wanting to resume CPT when you return to the US?
*
Please Select
Yes
No
What date are you returning to the US?
*
-
Month
-
Day
Year
Date
Upload your Flight Itinerary as a PDF file
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you have been approved for change of visa status, you must also complete the change of status form:
https://trine.jotform.com/221083171405950
Thank you for your feedback. Select "Submit Form" below to submit your request.
*Please note, these requests can take 10-14 business days to process. We cannot backdate CPT dates in SEVIS. If you have already stopped working, the updated end date will be reflected in SEVIS but will not be reflected on your updated I-20*
Submit Form
Should be Empty: