OPT STEM Change Employer

Personal Information

Name*

First Name

Last Name

UMID*

SEVIS ID*

Email*

UMICH email

Alternate Email

Optional but highly encouraged

I-20 Request

If your employer requires a new I-20, then you may request to print a new form. Otherwise, please select "I do not need a new I-20 printed."*

I do not need a new I-20 printed I would like a new I-20 printed

Employment History

Employment History*

I had a previous job while on STEM OPT and now I have a new job. I had a previous job while on STEM OPT that I will continue, and now I have a second job. I had a previous job while on STEM OPT, and now I am unemployed.

Document

Upload fully-completed Evaluation from old Employer (Form I-983)*

No File Chosen

File uploads may not work on some mobile devices.

Terms and Policy

Comments

Agreement*

I certify I have read the OPT information about 24-month OPT STEM extensions available at the OIA web site, and the information I have provided is, to the best of my knowledge, accurate. I understand that I am required to make a validation report to OIA every 6 months. I understand that I (and any F-2 dependents) must have UM-Dearborn approved health insurance coverage for the duration of my F-1 status. I understand I must report address changes, current (U.S.) or permanent (outside U.S.) through Wolverine Access within 10 days of any change. Submit