24 Month STEM OPT Reporting
24 Month STEM OPT Reporting
UTA ID #
*
SEVIS ID
*
First Name
*
Last Name
*
Email Address
*
Are you currently employed?
*
Are you currently employed?
Yes
No
Are you Self Employed?
*
Are you Self Employed?
Yes, I am Self Employed
No
If yes, please provide occupation
Occupation:
Employment Start Date
Employment Start Date
*
/
MM
/
DD
YYYY
Employer Name
*
Employer ID Number (EIN)
*
##-#######
Current Title/position
*
Supervisor First Name
*
Supervisor Last Name
*
Supervisor Phone
Supervisor Phone
*
-
###
-
###
####
Supervisor Email
*
Employer Address
Street Address
*
City
*
State
*
First option
Zip Code
*
If you have more than one employer,
please list any additional Employers you have with their addresses.
Verify Physical Presence Address
*
Verify Physical Presence Address
Yes, my Physical Presence Address and preferred phone number is up to date on MyMav.
Verify Employment
*
Verify Employment
Yes, this employment is related to the field of study on my STEM OPT I-20
Verify Form I-983
*
Verify Form I-983
Yes, I have reviewed the Form I-983. It is completed, signed and addresses all program requirements, and I already have submitted the Form I-983 to STEMOPT@uta.edu.