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):