OPT Employment Update

Email Address:

First Name:

Middle Name:

Last Name:

Birthdate:

Company Name (*)

Employer Address (*)

Country

Street

City

Region

Postal Code

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

Are you self-employed? (*)

Yes

No

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

Job Title

Full Time or Part Time (*)

Full Time

Part Time

Employment Start Date (*)

Supervisor Name

Supervisor Phone Number

Supervisor Email

Your Current U.S. Residential Address (*)

Country

Street

City

Region

Postal Code

Last Day of Work with Previous Employer (if applicable)

Document Upload (*)

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

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):