|
OPT Employment Registration:
Last Name
First Name
SEVIS Number
(Number listed above the bar code on your I-20, ex N000012345)
Email Address
(Please use an email address that you check frequently)
Street Address
City
State
Zip
Phone
For students currently employed please
list your current employer's name and address. If more than
one, please list all current.
Currently Employed
Employer (Primary or future employer)
Name of employer:
Street Address:
City:
State:
Zip:
Future Employer Start Date:
Additional Employers (if any)
Name of employer:
Street Address:
City:
State:
Zip:
Any additional Employers, including volunteer work, enter here:
Self Employed
Type of business:
Business Address (can be personal address):
City: State:
Zip:
Not Currently Employed (using OPT)
Change of Status
Return Home/Left Country
|