Request STEM OPT I-20

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

Student Name *
CBU ID *
SEVIS ID *
Current Email *
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 *
Start Date Start Date * / MM / DD YYYY
Number of hours worked per week *
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 *

Attach Files
Please upload completed Form I-983 *

Attach Files