Work Permit Renewal (Students Form)

Before filling out this form:

1. You must be enrolled for the next semester (Spring or Fall). Note that you must be enrolled full-time before the semester begins or your permit will be invalid. If you are graduating in the Summer, then you only need to be enrolled for the Summer.

2. Your I-20 must be valid.

Last Name
First Name
Middle Name
Banner ID/ CWID
SEVIS ID
Email

Confirm Email Address
Expected Graduation Semester

Expected Graduation Semester Fall Summer Spring
Expected Graduation Year (YYYY)
Are you a sponsored student (Government/Embassy/Agency)

Are you a sponsored student (Government/Embassy/Agency) Yes No
Do you have 0.5 FTE Graduate Assistantship

Do you have 0.5 FTE Graduate Assistantship Yes No
In which department are you currently employed?
What is your Status?

What is your Status? F1 J1 Other
Status Description

Please fill this field only if you are not a F1 or J1 student
Are you an ELI (English Language Institute) Student?

Are you an ELI (English Language Institute) Student? Yes No
Scanned Copy of First Page of Passport

Attach Files
Scanned or Digital Copy of most recent I-20 or DS-2019

Attach Files
Country of Citizenship
Country of Residence before coming to the U.S. (Country of Tax Residence)
First Date of Entry to the U.S. First Date of Entry to the U.S. / MM / DD YYYY
I understand that my employment can be terminated if I violate the conditions of this work permit (Students must be enrolled full time for fall and spring semesters). It is my responsibility to inform my employer if there is a change in my immigration status that would affect my employment eligibility at OSU. For example, if my program has ended, or if I have received an EAD card for optional Practical training, I may not work in a student position during the period on the EAD card.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
URL for Level 1