OPT Update Form

Student First Name

Student Last Name

SEVIS ID Number

Student Address - (U.S.)

City - (U.S.)

State/Province - (U.S.)

Zip/Postal Code

Email

Employer/Company Name

Employer/Company Address

Employer/Company City

Employer/Company State

Employer/Company Zip/Postal Code

First Date of Employment

Last Date of Employment

Is this a full-time employment?
Yes
No

Is this employment directly related to your area of study?
Yes (employment will be entered in SEVIS)
No  (employment is not eligible to be entered in SEVIS)

Complete/Ending OPT?
Yes
No

Date of departure from U.S.

Any comments or questions?