Employment Information Form OPT Employment Information To be used by F-1 students on OPT status to update any employment changes for SEVIS updates. Student Name * Required Student SEVIS Number * Required Number is located in top right corner of the I-20 and will start with “N00……….”Current OPT Status * RequiredPost-Completion OPTOPT STEM ExtensionEmployer Identification Number (EIN) Employer Name * Required Employer Address * Required Street Address Address Line 2 City State ZIP / Postal Code Supervisor's Name * Required Supervisor's Phone Number * Required Supervisor's Email * Required Employment Start Date * Required MM slash DD slash YYYY Please email a copy of your employment offer letter or an employment verification form that confirms the start date.Employment End Date (If changing employers or positions, enter the date you left the last position.) MM slash DD slash YYYY Leave blank if this is your first employer or position. You may be asked for an employment verification letter to confirm the employment end date.Number of Hours Per Week * Required More than 20 Hours (Full-time) Less than 20 Hours (Part-time) Position Title * Required Provide a Position Description (How is this position related to your program of study?) * RequiredCurrent Home Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code We will send your updated I-20 with this employment information to the address provided.Current Home or Mobile Phone Number * Required Current Personal Email * Required Do not use your employment/work email.