OPT Employment Update

Email Address

First Name

Middle Name

Last Name

Birthdate

What is your current status?

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.

Upload a copy of your Form I-983

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):