Request STEM OPT I-20

Please use this form to request a STEM Endorsed I-20.

Student Name
CBU ID
SEVIS ID
Current Email
Your Current Address Your Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Requested STEM OPT Start Date Requested STEM OPT Start Date / MM / DD YYYY
Requested STEM OPT End Date Requested STEM OPT End Date / MM / DD YYYY

Cannot exceed 24 months from start date
Explain how employment is related to course of study.
Maximum of 1000 characters allowed. Currently Entered: 0 characters.
Employer / Company Name
Employer EIN
Job Title
Actual Start Date with the Company Actual Start Date with the Company / MM / DD YYYY

Please list your first working day with this company.
Annual Salary
Number of hours worked per week
Are you working remotely?

Are you working remotely? Yes No
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor Name Supervisor Name First Last
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
Supervisor's Email
Please upload completed Form I-765 (DO NOT SUBMIT THE 765 TO USCIS WITHOUT A NEW I-20)

Attach Files
Please upload completed Form I-983

Attach Files