OPT STEM Change Employer

This form is to be used by U-M students who are currently on STEM OPT and have changed his or her STEM employer. If you are currently on Post-Completion OPT and would like to apply for a STEM Extension, please fill out the OPT STEM Extension I-20 Request Form.

Students must submit a self-evaluation about the progress of their STEM OPT training experience at the end of any STEM OPT employment. If you are changing employers, or simply ending your current employment, you will submit that self-evaluation here.

  • You may elect to print a new I-20 form with your updated employer information.
  • I-20 processing time is 5-10 business days.
Personal Information
N
(optional but highly encouraged)
I-20 Request

If your employer requires a new I-20, then you may request to print a new form. Otherwise, please select "I do not need a new I-20 printed."

Delivery Method
U.S. Mail Address
Employment History
Previous Employer Information

*Please detail any concurrent job arrangements in the comments box below.

New Employer Information
Employment Address:
Supervisor's Contact Information:
If employed by U of M, Department Administrative Contact Information:
Documents
Training Plan for STEM Students. For assistance in completing this form, please view our U-M I-983 Instructions.
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf.
Self-Evaluation for STEM Students. For assistance in completing this form, please view our U-M I-983 Instructions.
Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf.