STEM OPT Extension

Email Address

First Name

Middle Name

Last Name

Birthdate

STEM OPT Information

What is your PERSONAL email address? You may lose access to your UofM email address soon.

STEM OPT Start Date (*)

STEM OPT End Date (*)

Upload a copy of your completed and signed I-983 form*

What is your current US address?

Country

Street

City

Region

Postal Code

Statement of Understanding for STEM OPT Extension

I hereby certify that the information in this record is true and correct.

I will abide by the regulations for students at The University of Memphis and SEVIS.

I understand that all I-20s must be kept, including older documents, for use in future government applications (such as OPT).

Signature (type your full name):