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Washington and Lee University

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Employment Authorization Cover Sheet

OPTIONAL PRACTICAL TRAINING/CURRICULAR PRACTICAL TRAINING/ACADEMIC TRAINING

IF YOU ARE APPLYING FOR OPTIONAL PRACTICAL TRAINING (F-1 VISAS ONLY)
NAME___________________________________________
MAJOR(S)____________________________________________________
MINOR___________________________________________
BEGIN/END DATES_________________________________________

IF YOU ARE APPLYING FOR CURRICULAR PRACTICAL TRAINING (F-1 VISAS ONLY)
NAME___________________________________________
MAJOR(S)____________________________________________________
MINOR___________________________________________
BEGIN/END DATES_________________________________________
FACULTY MEMBER SUPERVISING YOUR INTERNSHIP______________________
COMPANY/INSTITUTION THAT YOU ARE WORKING FOR:
NAME OF INSTITUTION_________________________________
ADDRESS OF INSTITUTION_______________________________
NAME OF CONTACT PERSON_____________________________
PHONE #/E-MAIL ADDRESS OF CONTACT PERSON___________________________

IF YOU ARE APPLYING FOR ACADEMIC TRAINING (J-1 VISAS ONLY)
NAME___________________________________________
BEGIN/END DATES_________________________________________
COMPANY/INSTITUTION THAT YOU ARE WORKING FOR:
NAME OF INSTITUTION_________________________________
ADDRESS OF INSTITUTION_______________________________
NAME OF CONTACT PERSON_____________________________
PHONE #/E-MAIL ADDRESS OF CONTACT PERSON___________________________

 

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