OPT Employment Reporting Form

F-1 Students use this form to report employment during the OPT period. Allow a minimum of 7 working days for employment to be reported in SEVIS.

List your 8 digit school ID number

Family Name

First Name

Type of OPT

Employer Name

Employer Address (Street Name, City, State, Zip)

Job Title

Employment Start Date

How is this employment directly related to your area field of study?
Write a short paragraph describing how your job duties relates to your area of study and include the number of hours worked each week.

Supervisor Information:
First and Last Name
Phone Number
E-mail

Your current U.S. Residential Address:

Do you need to report an end date for a previous employer? If so, list employer name and end date.

Students on STEM Extension OPT: You will need to submit a new I-983 anytime you start working for a NEW employer. Additionally, you will need to submit a self-evaluation (located on the I-983 form) on the 12th and 24th month mark of your STEM Extension OPT.