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OPT Employment Form

This form is to be used by U-M students who are currently on Post Completion OPT and are reporting new employment. If you are on the 24 Month STEM Extension, please report your employment here: STEM Change Employer

**YOUR EMPLOYMENT DETAILS WILL BE REVIEWED AND UPDATED IN SEVIS. HOWEVER, YOU WILL NOT RECEIVE A CONFIRMATION EMAIL UPON SUBMISSION OF YOUR EMPLOYMENT INFORMATION.**

Tags:

F-1 Students

Personal Information

Last Name: *

First Name: *

UMID: *

SEVIS ID: *

Current Email: *

Employment History

First Job or Not *

This is my first job on Post Completion OPT.

I had a previous job while on Post Completion OPT and now I have a new job.

I currently have a job while on Post Completion OPT and now I am adding a second concurrent job

I had a previous job while on Post Completion OPT and now I am unemployed.

I have never had a job while on Post Completion OPT.

I am updating my current job information. (Please explain what changes are being made in the comment box below)

Previous Employment

Previous Employer/Company Name: *

Previous Employment End Date *

Month

Day

Year

New Employment Information

Employer/Company Name: *

Employment Start Date: *

Month

Day

Year

Job Title: *

Full Time / Part Time *

Full Time: 20 hours or more per week

Part Time: less than 20 hours per week

Average hours per week: *

Company Worksite Address:

DO NOT provide your living address. If you are working remotely, please explain why in the comment box below.

Street: *

Suite:

City: *

State: *

Zip Code: *

Have you updated your current residential address on Wolverine Access? *

Yes

To update your current residential address, go to Wolverine Access < Students < Student Business < Campus Personal Information < Addresses
You should only change the Current Local address.

In 1-2 sentences please explain the relationship between your job duties and your major field of study. *

In 1-2 sentences please describe what your principal job duties are. *

Comments

Certify *

I certify I have read the OPT information about Post Completion OPT available at the IC web site, and the information I have provided is, to the best of my knowledge, accurate. I understand that I (and any F-2 dependents) must have U-M approved health insurance coverage for the duration of my F-1 status. I understand I must report address changes, current (U.S.) or permanent (outside U.S.), as well as phone number and email changes, through Wolverine Access within 10 days of any change.

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OPT Employment Form