Eastern Kentucky University

Office of International Student and Scholar Services

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OPT Reporting Form

F-1 students on OPT are required to report to the Office of International Student and Scholar Services within 10 days the following information.

PERSONAL INFORMATION

First Name *

Last Name *

SEVIS ID# *The SEVIS ID# is found on your I-20 and it begins with the letter “N” followed by 10 numbers.

EKU ID# *

Street Address *Enter your residential address here.

Apartment, suite, etc.

City *

State *

ZIP / Postal Code *

Email Address *

Phone Number *

Level *UndergraduateGraduateDoctorate

Major *

EMPLOYMENT INFORMATION

If you have more than one job, please resubmit this form with your second employer information.

Are you currently employed? *Yes. If yes, enter the date you started employment belowNo. If no, please enter the date of unemployment since the start of your OPT or date you lost your previous employment below, otherwise skip to the next question

Start Date of Employment or Unemployment *

Year

Month

Day

End date of employment (leave blank if end date is unknown or enter today's date if you are still unemployed)

Year

Month

Day

Are you self-employed? *YesNo

Full Time / Part Time Employment Status *Full Time: more than 20 hours per weekPart Time: 20 or less hours per week

End Date of Employment (leave blank if job is ongoing or end date is unknown)

Year

Month

Day

Your Job Title *

Explain how this employment is related to your major field of study *Your written explanation, should include your job title, employer name, major area of study, whether full time or the average hours worked per week, and a brief explanation of how the job is directly related to your studies. The regular duties should be explained and the connection between those duties and the degree described.

Please upload a scanned copy of your Employment Authorization Document (i.e. OPT Card)

No file chosen

Your file cannot exceed 8MB.

Please upload copy of your Job Offer Letter on the company's letterhead

No file chosen

Your file cannot exceed 8MB.

EMPLOYER INFORMATION

Please select the type of employment information you are reporting *First Employer InformationChange of EmployerAdditional Employer

Name of Employer *

Street Address *

Apartment, suite, etc.

City *

State *

ZIP / Postal Code *

Employer Identification Number (EIN)(Format 00-0000000) *Please ask your human resources department to obtain the Employer Identification Number. EIN is a nine-digit number assigned by the U.S. Internal Revenue Service (IRS).

SUPERVISOR INFORMATION

First Name of Supervisor *

Last Name of Supervisor *

Title of Supervisor *

Phone Number *

Email Address *

CHANGE OF STATUS INFORMATION

Have you applied for a change of your immigration status? (Example: H-1B, Permanent Residency etc.)YesNo

If yes, what type of immigration status?

What is the status of your immigration application case if you have applied for a change of your immigration status?ApprovedPendingDenied

Please upload a scanned copy of your Receipt, Approval or Denial Notice

No file chosen

RECEIVING YOUR I-20

Once your SEVIS record has been updated, OISSS will mail your I-20 by regular US Postal Service to your address within 5 business days. You may choose other options below to receive your I-20.

How do you want to receive the new I-20? *Pick up in person from Whitlock Building, Room 455.Express Mail Service via eShipGlobal.Pick up by friend or relative, whose contact information is below.

Friend's or relative's namePicture ID will be required to pick up the I-20.

Friend's or relative's phone number

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