OPT REPORTING FORM. STEM Extension Request (I-983 Required) Student Information: BU Student ID#: SEVIS ID#: Street Address: City State Zip Code

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1 OPT REPORTING FORM Reporting: New Employer OPT STEM Extension Request (I-983 Required) New Employer STEM (I-983 Required) Continued Employment Student Information: Family Name: First Name: BU Student ID#: SEVIS ID#: Street Address: City State Zip Code Phone #: Former Employer Information Only complete if you had a previous employer Company Name: Employer End Date / / New or Current Employer Information: Explain how employment is related to your course of study: Company Name: Employer s EIN: Job Title: Start Date / / Full time (>20 hours/week) Part time (<20 hours/week) Street Address: City State Zip Code Do you work at this location? *If on STEM, this needs to match the Site Information on page 3 the I-983* Yes No If no, please give location details: Supervisor Information Family Name: First Name: Phone #: I understand that it is my responsibility to immediately inform the (P)DSO of any changes or updates to my employment or home address within 10 days. I understand that it is my responsibility to monitor my days of unemployment. Student s Signature: Date: Office Use Only: (P)DSO Signature: Date Processed: Comments: Revised: Jan-2018

2 STEM EXTENSION FILING INSTRUCTIONS In order to request a STEM Extension recommended I-20, you will need to: Complete and submit the OPT Reporting form Complete the Form I-983 Training Plan for STEM OPT Students with the employer requesting the extension o Form can be found at Submit both documents to international@fsmail.bradley.edu When you receive the STEM Extension recommended I-20, sign in the appropriate place then prepare your packet to be mailed to the appropriate USCIS lockbox location. See the bottom for lockbox information. Please note that it is your responsibility to ensure that all application materials are received by USCIS prior to the end of your current OPT Authorization. You can apply for STEM Extension 90 days before the end of your authorization. Once you are on STEM extension you are required to report to Bradley every 6 months, an will be sent to the address on file so make sure you keep your address up-to-date and that you check it regularly. The materials to include in your STEM Extension application packet (in order from on top to on the bottom) are: Form G-1145 e-notification of Application/Petition o Form can be found at o Place on top of the application o Not required but recommended Form I-765 Application for Employment Authorization Sample included o Form can be found at o It is recommended that you complete the form online and print. o For any section that does not pertain to your, fill in with N/A or None. o Print the Form I-765 and SIGN INSIDE THE BOX IN BLACK INK. Check or money order for $410.00, made payable to U.S. Department of Homeland Security Two passport-style photos that are less than 30 days old o On the back, lightly write your name using a pencil Copy of the front and back of current Employment Authorization Document (OPT Card) Copy of the new I-20 with the STEM Extension recommendation on the 2 nd page o Must be less than 60 days old o Make sure to sign on the first page Copies of all Bradley I-20s issued to you o Ordered newest on top to oldest on the bottom o Not required but highly recommended, especially if you have previous CPT/OPT authorization Copy of Bradley Diploma or final transcripts showing degree awarded date Copy of passport biographical and expiration page(s) Copy of F-1 visa Copy of most recent Form I-94 o Form can be found at **SUBMIT PACKET TO APPROPRIATE LOCKBOX DESITNATION** If sending my regular mail If sending by express courier service (USPS), submit to: (FedEx, DHL, UPS), submit to: USCIS USCIS Attn: AOS P.O. Box E. Skyharbor Circle S Phoenix, AZ Suite 100 Phoenix, AZ **Please note that it will take at least 90 days for USCIS to adjudicate your application** Revised: Sep-2018

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