OPT Employment Update

Email Address

First Name

Middle Name

Last Name

Birthdate

Your Current U.S. Residential Address (*)

Country

Street

City

Region

Postal Code

Relevance of Employment to Course Work (*)
Please provide 3-4 sentences explaining your position's direct relevance to your degree.

Are you self-employed? (*)

Yes

No

Is this position remote? *

Yes

No

Company Name (*)

Employer Identification Number (EIN) (*)
An employer identification number (EIN) is a nine-digit number assigned by the IRS. Please ask your employer for this.

Job Title

Employment Start Date (*)

Last Day of Work with Previous Employer (if applicable)

Full Time or Part Time (*)

Full Time

Part Time

Employer Address (*)

Country

Street

City

Region

Postal Code

Supervisor Name

Supervisor Phone Number

Supervisor Email

Document Upload (*)

Upload a copy of your Post-Completion OPT/EAD Card

Upload a copy of your job offer letter. It needs to be on company letterhead and detail your position, start date, number of hours per week, and address of employer.

Statement of Understanding for OPT Employment Update (*)

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 timely updates of my OPT place of employment, including full address of each workplace, is needed to maintain ongoing OPT requirements.

Signature (type your full name):