12 Month OPT Reporting
12 Month OPT Reporting
UTA ID #
*
SEVIS ID
*
First Name
*
Last Name
*
Email Address
*
Are you currently employed?
*
Are you currently employed?
Yes
No
Are you employed Part Time (20 hours or less per week) or Full Time (more than 20 hours per week)?
*
Are you employed Part Time (20 hours or less per week) or Full Time (more than 20 hours per week)?
Part Time
Full Time
Are you Self Employed?
*
Are you Self Employed?
Yes, I am Self Employed
No
If yes, please provide occupation:
Employment Start Date
Employment Start Date
*
/
MM
/
DD
YYYY
Employer Name
*
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 number is up to date in MyMav.
Verify Employment
*
Verify Employment
Yes, this employment is related to the field of study on my 12 Month OPT I-20