F-1 OPT/STEM Student Report Form

F-1 OPT/STEM Student Report Form

While you are on F-1 OPT, you are required to report to your school about your employment. STEM OPT must report to a DSO every six months even if there are no current changes. Please complete the form below when any of the following change.

NOTE: You are required by Department of Homeland Security to report these changes to your DSO within 10 days. Failure to comply can put your immigration status at risk!

-Your residential address
-Your employer's name and address
-Any changes in your employment (ending a job, changing jobs)
-If you change your immigration status
-If you leave the U.S. and will no longer be using your F-1 OPT
-If you apply for and receive the 24 month extension of OPT, you will have to report the above AND you will have to complete the OPT report form every six months during the 24 month extension even if your employment has NOT changed.

PLEASE ALLOW AT LEAST 7 BUSINESS DAYS FOR PROCESSING. ONCE PROCESSED YOU WILL RECEIVE AN EMAIL NOTIFICATION. PLEASE DO NOT EMAIL ME THAT YOU HAVE SUBMITTED THE FORM. REQUESTS ARE PROCESSED IN THE ORDER THEY ARE RECEIVED. YOUR PATIENCE IS APPRECIATED.

Name Name * First Last
SEVIS Number (upper left corner of I-20, starts with"N")
*
EIU E-Number *
Your Current Email Address (your SEVIS record will be updated to this email) *
Your Phone Number Your Phone Number * - ### - ### ####
YOUR Current Address (where YOU live). DO NOT enter someone else's address! Your SEVIS record will be updated to this address. YOUR Current Address (where YOU live). DO NOT enter someone else's address! Your SEVIS record will be updated to this address. *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
OPT Employment Information
EAD card start date
EAD card start date
* / MM / DD YYYY
EAD card end date EAD card end date * / MM / DD YYYY
Upload front and back of your EAD card in pdf format. (If you have previously submitted this you do not need to submit again.

Attach Files
In what field is your degree (ie: technology, economics)? *
Job Title
*
Full-time or part-time?

Full-time or part-time? Full-time (20 or more hours per week) Part-time (less than 20 hours per week)
Employment Start Date Employment Start Date / MM / DD YYYY
Employer Information
Employer Company Name *
Employer Phone Number Employer Phone Number * - ### - ### ####
Supervisor's Name Supervisor's Name First Last
Supervisor's Email
Address of Employer Address of Employer *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Upload your employment offer letter (for new employment) Letters must be on letterhead and include title, start date, specific duties, full-time or part-time (number of hours per week is acceptable), employer signature, and student signature if applicable. If ANY of this information is missing your request will not be processed and you will have to submit the form again.

Attach Files
If you are reporting new employment, what is/was your last date of employment with your previous employer (if applicable and must be the last date you actually worked)? (If you are submitting new employer information and this is left blank your request will not be processed.) If you are reporting new employment, what is/was your last date of employment with your previous employer (if applicable and must be the last date you actually worked)? (If you are submitting new employer information and this is left blank your request will not be processed.) / MM / DD YYYY
Please check appropriate box(es). *

Please check appropriate box(es). Initial OPT STEM Extension OPT
Upload your completed I-983 (if you are applying for, or are already on, STEM extension). Also required for six month check-in. ENTIRE COMPLETED I-983 is required. *

Attach Files
INITIAL OPT

Please check appropriate box(es). *

INITIAL OPT

Please check appropriate box(es). New/Change in employer information (please make sure you include ALL required docments) Check this box ONLY if you are adding a second employer and will be working for both employers at the same time Change in client site/supervisor information OPT Participation Reporting Reporting termination/end of employment
STEM OPT | *REQUIRES UPLOAD OF YOUR CURRENT I-983*

Please check appropriate box(es). *

STEM OPT | *REQUIRES UPLOAD OF YOUR CURRENT I-983*

Please check appropriate box(es). New/Change in employer information (please make sure you include ALL required documents Check this box ONLY if you are adding a second employer and will be working for both employers at the same time Change in client site/supervisor information STEM extension request Final evaluation from previous employer OPT Participation Reporting Reporting termination/end of employment Change of employer during STEM extension period