SCIS - STEM Extension OPT Student Update

Personal Information
Family Name (Last Name) *
Given Name (First Name) *
SUID *
SU Email Address
Preferred Email Address *
SEVIS ID # N *
EAD # YSC *
Information I am Reporting *

Information I am Reporting Name U.S. Address and Phone Home Country Address Employer Unemployment Change of Immigration Status STEM 6 Month Update
Documents I am Uploading

Documents I am Uploading EAD Card I-983 Training Plan for new employer I-983 12 month Evaluation I-983 Final Evaluation Change of status approval notice
Upload File(s)

Attach Files

This field only accepts certain types of extensions: pdf, doc, jpg, and png
Date this information change becomes effective Date this information change becomes effective * / MM / DD YYYY
Name Update
Family Name (Last Name)
Given Name (First Name)
U.S. Address and Phone Update
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
New Phone Number New Phone Number - ### - ### ####
Cell Phone Number Cell Phone Number - ### - ### ####
Home Country or Foreign Address Update
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer Information Update

An I-983 Training Plan is required for all STEM Extension employers. The Slutzker Center must receive a copy of the new I-983 Training Plan with this update form before a new employer can be added to SEVIS. Upload the new I-983 Training with this Update form.

An I-983 Training Plan Final Evaluation is required when employment with a STEM Extension employer ends. A copy of the Final Evaluation should be sent to the Slutzker Center (lescis@syr.edu) within 10 days of the end of employment or uploaded with this Update form.
Initial Employment Change in Employment Additional Employment
My Start Date of Employment Is/Was My Start Date of Employment Is/Was / MM / DD YYYY
I Stopped or Will Stop Working For My Previous Employer On I Stopped or Will Stop Working For My Previous Employer On / MM / DD YYYY
I Will Start or Started Working For My New Employer On I Will Start or Started Working For My New Employer On / MM / DD YYYY
I Started or Will Start Working For This Additional Employer On I Started or Will Start Working For This Additional Employer On / MM / DD YYYY
Name of Employer
Student Job Title
Supervisor Name
Supervisor Phone Number Supervisor Phone Number - ### - ### ####
Supervisor Email
Employer Status

Employer Status Full Time: more than 20 hours/week Part Time: 20 or less hours/week
Employer Address Employer Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer Phone Number Employer Phone Number - ### - ### ####
Upload I-983 Training Plan *

Attach Files
Unemployment Update
I Stopped Working For My Last Employer On I Stopped Working For My Last Employer On / MM / DD YYYY
Employer's Name
Change of Immigration Status

Please indicate the nature of the change below and upload documentation of change of status (i.e., approval notice, visa stamp, passport bio page)
Change of Status
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SCIS - STEM Extension OPT Student Update

SCIS - STEM Extension OPT Student Update

Personal Information

Name Update

U.S. Address and Phone Update

Home Country or Foreign Address Update

Employer Information Update

Unemployment Update

Change of Immigration Status