Students on OPT have 90 days of unemployment total. Please report your current employment information within 10 days of your employment start date using this form. You may also use this form to report future changes of employment. We will update your SEVIS record for you. Once you submit this form, please plan to pick up the new I-20 within three to five business days in person, or submit an Express Mail request to have your I-20 mailed.
Failure to report employment information in the specified time or ending your OPT early by departing the USA will result in automatic termination of your F1 status.
If you have an update to your employment please resubmit this form.
All fields are required.
First Name
Last Name
Banner ID
Email Address
Phone
Address Line 1This is your residential address. It should not be the address of your friend or employer.
Address Line 2 (Optional)
Employer EIN (If Applicable)
Company/Employer Name
Company/Employer Phone
Supervisor Name (First and Last)
Supervisor Email
Address Line 1(If you are working in a different location or off-site, please include the physical location of employment in the bottom text box of this form.)
Job Title
Explain how current employment is related to your IUP Degree in 350 characters or less.
Hours per Week
Contact First Name
Contact Last Name
Contact Phone Number
If you have additional employment or your previous employment has changed, please list the employer name, start date, and end date below. We will adjust all employer names and dates on your I-20.