Part-Time Authorization Form

Deadline:
The International Center for Students and Scholars must receive Academic Part Time Authorization Form NO LATER than the student’s registration date or withdrawal date from a course.
Failure to receive prior approval for part time study is a violation of an international student’s lawful status in the United States and will result in termination of SEVIS record, losing benefits such as Practical Training or other work opportunities.

Limit:

International students are allowed one semester of part time study based on academic difficulties and one semester of part time study based on completion of course of study per degree level. For this reason, it is very important that the Academic Part Time Authorization Form be accurate and that international students enroll to the fullest extent possible each semester.
Financial hardship is not accepted as a legitimate reason for part time study.
Poor academic progress or academic probation is not accepted as a legitimate reason for part time study.
Curricular Practical Training registration not required by your degree program is not a legitimate reason for part time study and cannot be counted towards your full course load.
Medical recommendation for part time study or leave of absence requires documentation from a licensed medical doctor, doctor of osteopathy, or licensed clinical psychologist. This form is not used for part time study or leave of absence due to temporary illness or medical condition. If you have any questions, please call (203) 576-4395 or email internationaloffice@bridgeport.edu.

Name(Required)

First Last

UBNet ID Number(Required)

UB Email(Required)

Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Semester(Required)

Please select your academic advisor(Required)

If you do not know your academic advisor, please visit MyUB Experience from UB Portal to view your advisor

This field is hidden when viewing the form

Reason for Part-Time(Required)

This field is hidden when viewing the form

Number of credits the student will take with UB(Required)

This field is hidden when viewing the form

Difficulty Reason(Required)

Initial difficulty with English Language or reading requirements

Initial difficulty with unfamiliarity with American teaching methods

Improper course level placement

Please note: an F-1 student may only have one part time authorization per degree level for academic difficulties. A minimum of 6 credits for undergraduates or ½ the normal full course load for graduates is required.

Please note: an F-1 student may only have one part time authorization per degree level for completion of course of study.

This field is hidden when viewing the form

Name of another USCIS approved school that this student is concurrntly enrolled at?(Required)

This field is hidden when viewing the form

Number of credits the student will take at this school(Required)

The enrollment in both schools amounts to a full course ofstudy. (Attach copy of registration from other school and permission form to take classes outside of UB.)