STEM OPT 12-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 Number

e.g. N0001234567
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

If Yes, Please enter the name start and last date information of your previous employment in the below fields. If No then skip to to Job Title field and fill information about your current 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 Employment Details
Job Title
Start Date For This Position Start Date For This Position / MM / DD YYYY
Job Type

Job Type Full-time (more than 20 hours/week) Part-time (20 or less hours/week)
Description of your job

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 Name
Employer Identification Number

(EIN) Not E-Verify Number
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor Name Supervisor Name First Last
Supervisor Email
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
Are you currently employed by second employer

Are you currently employed by second employer Yes No
2nd Employment Details
Job Title
Start Date For This Position Start Date For This Position / MM / DD YYYY
Job Type

Job Type Full-time (more than 20 hours/week) Part-time (20 or less hours/week)
Description of your job

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 Name
Employer Identification Number

(EIN) Not E-Verify Number
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor Name Supervisor Name First Last
Supervisor Email
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
New Requirement - Upload the I-983 Form with all signatures and requested information. The OPT STEM extension 12 month report will not be processed without the completed "Evaluation on Student Progress" part (page 5) on I-983 form.
You can download the form from this link - I-983 Form
Upload the Form I-983

Attach Files
Notes (optional)

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.
Section Break

This is the description of your section break.

STEM OPT 12-month report

STEM OPT 12-month report

Current Employment Details

2nd Employment Details

New Requirement - Upload the I-983 Form with all signatures and requested information. The OPT STEM extension 12 month report will not be processed without the completed "Evaluation on Student Progress" part (page 5) on I-983 form. You can download the form from this link - I-983 Form

Section Break

New Requirement - Upload the I-983 Form with all signatures and requested information. The OPT STEM extension 12 month report will not be processed without the completed "Evaluation on Student Progress" part (page 5) on I-983 form.
You can download the form from this link - I-983 Form