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 * RequiredStudent SEVIS Number * RequiredNumber is located in top right corner of the I-20 and will start with “N00……….”Current OPT Status * RequiredPre-Completion OPTPost-Completion OPTOPT STEM ExtensionEmployer Identification Number (EIN)Employer Name * RequiredEmployer Address * Required Street Address Address Line 2 City State ZIP / Postal Code Supervisor's Name * RequiredSupervisor's Phone Number * RequiredSupervisor's Email * RequiredEmployment 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 * RequiredProvide 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 * RequiredCurrent Personal Email * RequiredDo not use your employment/work email.