New Employment Update Form

The U.S. Department of Homeland Security (DHS) requires individuals on Optional Practical Training (OPT) and any subsequent extensions to update their ISSS office with their employer information within 10 days of any related changes. Please complete and submit this form with your new employer's name and address. You will need to submit a new form anytime you change employment-related information during OPT.

SEVIS ID (N00...) *

The number (N00...) is printed in the upper right corner of your SEVIS I-20 above the bar code.

Middlebury ID # *

Surname/Family/Last Name *

Given/First Name *

Email Address *

If you had a job previously and are updating your employment with a new employer, please tell us the last day of employment with your previous job.

Month

Day

Year

Are you in an active period of STEM OPT? *

Yes

Are you self-employed? *

Yes

Form I-983 *

Files must be less than 2 MB.
Allowed file types: jpg jpeg png doc docx pdf.

Employer/Company Name *

Employer Identification Number (EIN)

An Employer Identification Number (EIN), also known as a Federal Tax Identification Number, is a nine-digit number assigned to a business by the Internal Revenue Services (IRS). NOTE: THIS IS A REQUIRED FIELD FOR STUDENTS ON A STEM OPT EXTENSION.

Employer's Street Address *

City, State, Postal Code *

Job Title *

Employment Start Date *

Month

Day

Year

End date (if known)

Month

Day

Year

Employment is *

Full Time (20 or more hours a week)

Part Time (less than 20 hours a week)

Supervisor's Full Name

Supervisor's Email Address

Supervisor's Telephone Number

Additional comments:

Leave this field blank

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New Employment Update Form

International Student & Scholar Services (ISSS)