OPT Employment & Address Update

1. Please enter your information below.

New employment information will generate a new I-20 that will be mailed to the current U.S. address provided. Complete only question #1 if you are just changing your residential address.

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* 1. Personal Information w 0

Family Name: *

First Name:

U.S. Address: *

Apt. #

City: *

State: *

ZIP/Postal Code: *

Email Address

Alternate email address: *

Phone Number: (xxx) xxx - xxxx *

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* 2. I am reporting on w 0

My new address ONLY (Go to bottom and click "Done")

My first employment (Go directly to question #6)

A change in job title or employer's address (Go to question #9)

A change of employment (Go to question #3 to provide last date with previous employer)

An OPT STEM 6 month validation requirement (Go directly to question #5)

Ending my OPT early to begin a new academic program (Go directly to question #4)

Ending my OPT early to exit the U.S. (Go directly to question #4)

Unemployment (left current job and seeking a new job, go to question #7 and end survey)

Addition of secondary employment (Go to question #12)

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* 3. If this is a change of employment, when was your last official day with your previous employer? w 0

Date

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* 4. I have decided to end my OPT early: w 0

Yes (please answer follow up question below)

No (please continue to question #6)

If yes, date you will leave the U.S. or transfer to a new academic program? Your SEVIS record will be completed or transferred on this date. OPT ends when your SEVIS record is transferred.

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* 5. This is a STEM OPT required 6 month validation report update for: Only for STEM OPT participants with approved additional 17 or 24 months w 0

6 months or 18 months after STEM began with changes to employment (go to question #9)

6 months or 18 months after STEM began without any changes (go to end and click done)

12 months after STEM began with changes - I-983 evaluation submission required if 24 month extension (go to question #9)

12 months after STEM began without any changes -I-983 evaluation submission required if on 24 month extension (go to end and click done)

24 month end to STEM - I-983 evaluation submission required

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* 6. Type of current employment: w 0

Job with an employer (provide Employer's EIN number below)

Internship (paid or unpaid)

Self employment/Independent contractor (provide information below)

Volunteer position

Not currently employed

Your employer's Employment Identification Number (EIN number). If self-employed, you must also provide this number:

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* 7. Start date of new employment or entering period of Unemployment w 0

as of:

Date

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* 8. This job is: w 0

Part-time (20 hours or less per week)

Full-time (more than 20 hours per week)

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* 9. Primary Employer Information: w 0

Company name:

Your job title:

Company address:

Suite:

City:

State:

ZIP Code:

Name of supervisor:

Supervisor's phone number: (xxx) xxx-xxxx

Supervisor's email address

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* 10. Your major/program degree: w 0

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* 11. Briefly explain how your primary employment is related to your major (1 or 2 sentences only please) w 0

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* 12. Do you have a second employment position? w 0

Yes, continue on to next question (note this information will not appear on I-20)

No, this ends your update. Please review reporting information at the end of this questionnaire.

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* 13. This second job is: w 0

Part-time (20 hours or less per week)

Full-time (more than 20 hours per week)

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* 14. Beginning on: w 0

Date

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* 15. Type of secondary employment (if applies) w 0

Job with an employer

Internship (paid or unpaid)

Self employed/Independent Contractor

Volunteer position

Employer's EIN. If self-employed you must enter your EIN number:

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* 16. Secondary employer information: w 0

Your job title:

Company Name:

Address:

Suite:

City:

State:

Zip/postal code:

Name of supervisor:

Supervisor's email:

Supervisor's phone number: (xxx) xxx - xxxx

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* 17. Briefly explain how this secondary employment relates to your major. w 0

Thank you for completing the OPT update. Remember, OPT participants are required to update their personal and employment information with our office while on OPT for reporting in SEVIS. If your personal or employment information changes, you are required to update your information on our website within 10 days. A new I-20 will be issued for employment changes only. You have 90 days of unemployment allowed for the first 12 months of OPT; and 120 total with the STEM OPT. Failure to update your employment information within 10 days can result in unintentional and irreversible unemployment counted against your OPT record.