STEM OPT Extension Submission Form : International Student and Scholar Services (ISSS) : Texas State University

Last Name *

First Name *

Texas State ID # *

SEVIS ID # *

Email Address (not Texas State email) *

Phone Number *

U.S. Current Residential Address: Street address (with apartment number, if any) *

U.S. Current Residential Address: City *

U.S. Current Residential Address: State *

U.S. Current Residential Address: Zip Code *

Is your STEM extension based on your most recent Texas State University degree? *

Yes

No

Employer name *

Employer's EIN (employer identification number) *

Employer's E-Verify number (5-7 numbers NOT EIN number)

Current OPT start date *

Current OPT end date *

Job Title *

Job Description: See job description checklist in SEVP Portal FAQ: https://www.international.txstate.edu/Work-Authorization/SEVP-Portal.html *

Must include: Explain how job is directly related to major and give examples of job duties

Passport End Date *

Upload a copy of the Completed Form I-765 *

Check that the Form Edition is correct. See: https://www.uscis.gov/i-765

Statement of Understanding and Reporting Responsibilities for STEM OPT Extension Form (Page 2 of STEM OPT Extension Packet) *

Legal Advice and ISSS Advising Statement of Understanding (Page 3 of STEM OPT Extension Packet) *

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). *

Leave page 5 blank, this is due at the 12 and 24 months of STEM OPT.

I certify that all information provided on this form is true and correct, and refers specifically to me, the student, for the sole purpose of processing a STEM OPT Extension Form I-20 from Texas State University. *

Receiving your new I-20 *

I must pick up my new I-20 at ISSS or purchase a shipping label at https://study.eshipglobal.com/ so ISSS can mail the I-20.

STEM OPT Extension Submission Form

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