Optional Practical Training Employment Reporting

Information about the applicant engaging in Optional Practical Training
Name * Title First Last Suffix
CUNYfirst ID *
SEVIS ID# (can be found on the top left corner of your SEVIS I-20 form) *
U.S Phone Number * - ### - ### ####
Email Address *
Your current U.S. Address (please add last 4 digits of zip code) See link below
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Site to find additional 4 digits zip code.
I have already or will do the following at a later date: *
Please upload your EAD/OPT card

Attach Files
Please provide information about your employer(s) while engaging in Optional Practical Training
Name of Company: *
Name of Employer: *
Job Title: *
Explain how employment is related to your course of Study
I am *
Beginning Employment Terminating Employment
Start Date * / MM / DD YYYY
End Date * / MM / DD YYYY
Full Time/ Part Time
*
Full time: more than 20 hours/week Part Time: 20 or less hours/week
Address of Business. Please add the last 4 digits of the Zip code *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Site to find additional 4 digits zip code.
If applicable, please provide employer information about your second place of employment. Otherwise, please scroll down and provide your initial and submit.
Name of Company:
Name of Employer :
Job Title:
Explain how employment is related to your course of Study
Maximum of 100 words allowed. Currently Entered: 0 words.
I am
Beginning Employment Terminating Employment
Start Date / MM / DD YYYY
End Date / MM / DD YYYY
Full Time/ Part Time

Full time: more than 20 hours/week Part Time: 20 or less hours/week
Address of Business: Please add the last 4 digits of the Zip code.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Site to find additional 4 digits zip code.
DISCLAIMER

You may not have more than 90 days of unemployment while you are engaging on OPT. If you plan on forfeiting your OPT before the expire date on your EAD card, you must notify the USCIS officials. Email us at intlss@hunter.cuny.edu for more information. In addition, if you are transferring to another U.S. approved school while you are on OPT, please be mindful that on the day that your SEVIS I-20 is release to that school is the day that you should stop working. In other words, transferring your SEVIS I-20 to another school automatically cancels your EAD/OPT card.
Your Initials : *
Click here to print a copy of the completed form.

Optional Practical Training Employment Reporting

Optional Practical Training Employment Reporting

Information about the applicant engaging in Optional Practical Training

Please provide information about your employer(s) while engaging in Optional Practical Training

If applicable, please provide employer information about your second place of employment. Otherwise, please scroll down and provide your initial and submit.

DISCLAIMER

Click here to print a copy of the completed form.