OPT Information Update Form

OPT Update

"*" indicates required fields

Name*

First Middle Last

Banner ID H#*

Start Date on EAD Card*

End Date on EAD Card*

Personal Information

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Email address*

Please note: While on OPT, you are still REQUIRED to check your HCU email account 鈥� all OISS communication will be sent to your HCU email.

Employer Information

Full or Part time*

(Full time is more than 20 hrs/wk)

Company Name*

EIN*

Job Title*

Company Address

Street Address Address Line 2 City State ZIP Code

How responsibilities are related to major*

Supervisor Name*

First Last

Supervisor Phone Number*

Supervisor Email*

Employment Start Date*

Employment End Date

I am currently employed here*

Signature

Student Signature*

Date*

OPT STEM Update

Please complete this form once every 6 months during your 24-month STEM extension so that the HCU International Office can report your current information to DHS. If your personal information changes at any point, you have 10 days to report the change to the International Office. Once per year, you must complete the self-evaluation on page 5 of the I-983 and request your supervisor鈥檚 signature before returning the form to the HCU International Office so that we can report your progress to DHS.

Note: If you change employers while you are working during your 24-month STEM OPT extension, you must complete page 5 of the I-983 and have your previous supervisor sign. Turn in the old I-983 and then complete a NEW I-983 for the NEW employer to submit to the HCU International Office.

"*" indicates required fields

Student Full Legal Name*

First Middle Last

SEVIS ID #*

End Date on EAD Card*

Personal Information

Current Mailing and Residential Address*

Street Address Address Line 2 City State ZIP Code

Email address*

Employer Information

Current Employer Name*

Current Employer Address*

Street Address Address Line 2 City State ZIP Code

Employment Start Date*

Signature

Student Signature*

Date*

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OPT Update