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Report OPT Employment

Students on post-completion OPT must report their employment information to the Office of International Affairs.

Students must notify the Office of International Affairs within 10 days of any change in name, address, phone number or any aspect of employment.

Please complete this form to report your personal and employment information to the Office of International Affairs. Students can also choose to complete an OPT update form and email it to opt-cpt@louisiana.edu instead of completing this form.

Name *

SEVIS ID *

Telephone Number *

Do not include parentheses () or dashes -

U.S. Street Address *

City *

State *

Zip Code *

Personal Email Address *

Employer Name *

Employers EIN *

Employer Identification Number

Employers Street Address *

Employers City *

Employers State *

Employers Zip Code *

Your Supervisors Complete Name *

Your Supervisors Telephone Number *

Do not include parentheses () or dashes -

Your Supervisors Email Address *

Your Job Title *

Part-Time or Full-Time *

Part-Time = 20 hours per week. Full-Time = 21 + hours per week

Employment Begin Date *

Month

Day

Year

Employment End Date

Month

Day

Year

If still employed, please leave this section blank

Previous Employment End Date, if applicable

Month

Day

Year

If you do not have any previous employer's, leave this section blank

I certify that the information I have provided is correct *

Please type your first and last name.

Leave this field blank

University of Louisiana at Lafayette

Office of International Affairs

Academic Affairs Division

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