STEM OPT 18-month report

Please Read STEM OPT Reporting Requirements.

Please provide the Start & End Dates on your current EAD -

EAD Start Date Please provide the Start & End Dates on your current EAD -

EAD Start Date / MM / DD YYYY
EAD End Date EAD End Date / MM / DD YYYY
Personal Information-

First Name
Middle Name (if you have)
Last Name
CWID/Student ID
Must be 9 characters. Currently Entered: 0 characters.
e.g. A20211015
SEVIS ID

e.g. N00123456
Current Address Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Were you previously employed under OPT STEM Extension?

Were you previously employed under OPT STEM Extension? Yes No
How many previous companies you were employed for?

How many previous companies you were employed for? One Two Three or more
1st previous company
Name of the previous company
Start Date of employment at this company Start Date of employment at this company / MM / DD YYYY
End Date of employment at this company End Date of employment at this company / MM / DD YYYY
2nd previous company
Name of the previous company
Start Date of employment at this company Start Date of employment at this company / MM / DD YYYY
End Date of employment at this company End Date of employment at this company / MM / DD YYYY
3rd previous company
Name of the previous company
Start Date of employment at this company Start Date of employment at this company / MM / DD YYYY
End Date of employment at this company End Date of employment at this company / MM / DD YYYY
Current Company Details
Name of the current company
Current Job Title
Start Date for this position Start Date for this position / MM / DD YYYY
Job Type

Job Type Full Time (≥ 20 hours/week) Part Time (< 20 hours/week)

Students must work or volunteer in the current field of student at least 20 hours per week to be considered employed.
Description

Explain how your employment is related to your course of study (Max 1000 characters). This explanation will be pasted into your SEVIS record, please provide the details needed to explain your situation.
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer Identification Number
Supervisor Name Supervisor Name First Last
Supervisor Email Address
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
Are you currently employed by second employer

Are you currently employed by second employer Yes No
2nd Employer Details
Company Name
Job Title
Start Date for this position Start Date for this position / MM / DD YYYY
Job Type

Job Type Full Time (≥ 20 hours/week) Part Time (< 20 hours/week)

Students must work or volunteer in the current field of student at least 20 hours per week to be considered employed.
Description

Explain how your employment is related to your course of study (Max 1000 characters). This explanation will be pasted into your SEVIS record, please provide the details needed to explain your situation.
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Company Phone Number Company Phone Number - ### - ### ####
Employer Identification Number
Supervisor Name Supervisor Name First Last
Supervisor Email Address
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
Notes - If you have any notes/comments/special instructions, please enter them here.
I understand that it could take up to 10 business days to process my updates -

STEM OPT 18-month report

STEM OPT 18-month report

1st previous company

2nd previous company

3rd previous company

Current Company Details

2nd Employer Details