Post OPT Employment Report

POST-COMPLETION OPT STUDENT
EMPLOYMENT REPORT FORM

The Department of Homeland Security requires that all F-1 students on Post-completion Optional Practical Training (OPT) and the STEM Extension OPT to provide regular, timely, update reports on your employment status to the IPS office. Please complete this form and submit it so that we can update your SEVIS record, as required.

Note: Each time your employment status changes (starting a new job or ending a job), you need to fill out this form again and send to IPS with the updated information, within 10 days of the event you are reporting.

* Indicates a required field

To:
International Programs & Services

From:
* Today’s Date :
* SJSU Student ID # :
* SEVIS ID # :
* Last/Family Name :
* First/Given Name :
* Current Address :
* e-mail :
Starting Employment Ending Employment	Date
* Current Employer’s Name :
* Employer’s Address :

Please also provide a copy of your current Employment Authorization Document (EAD), if you have not already given us a copy.

I certify that the above information is true and correct