STEM OPT Form I-983 Self and Final Evaluation

Last Name *

First Name *

Student ID (A0...) *

SEVIS ID (N0...) *

Email Address (not Texas State email) *

Phone Number *

I am Reporting: *

Initial Assessment: 12 months after the STEM OPT start date

Final Assessment: 24 months after the STEM OPT start date OR any time employment ends

Both

Employer Name *

Form I-983 Training Plan, signed by you and your employer. This will be submitted to SEVIS by the DSO (MUST include all 5 pages of I-983). *

I acknolwedge the following: *

1. I am responsibile for providing the DSO my STEM OPT assessment no later than 10 days following the conclusion of the training period.

2. Students and their employer(s) must sign the student's self-evaluation before the student submits it to their DSO.

3. I must also submit a validation report (https://www.international.txstate.edu/Work-Authorization/optstem/STEM-OPT-Reporting/STEM-OPT-Validation-Report.html).

Submit