STEM Extension I-20 Request Form

STEM OPT Extension I-20 Request

Request International Student Programs & Services to submit your request for STEM OPT Extension in SEVIS and issue you an I-20.

I-20 processing time is 5-10 business days
Name*
First Last
SEVIS ID Number*
Located on the upper left of your I-20. Example: N0001234567
Email*
Phone*
OPT Start Date on EAD Card*
MM slash DD slash YYYY
OPT End Date on EAD Card*
MM slash DD slash YYYY
STEM Employer/Company Name*
This information must be taken from your fully completed I-983 that was filled out and signed by your employer.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

See Section 3, page 2 of the I-983 under Employer Information.
Employer Identification Number (EIN)*
00-0000000
Employer E-Verify Number*
Please check with your employer’s Human Resources Department for confirmation.
Employment Address*
Street Address Address Line 2 City State ZIP Code

See Section 5, page 3 of the I-983 under Employer Site Information.
Supervisor's Information*
First Last
Supervisor's Phone*
Supervisor's Email*
Copy of fully completed I-765
Accepted file types: gif, jpg, jpeg, png, pdf, Max. file size: 4 MB.
Only required if you will submit your STEM OPT application by mail. See form and instructions https://www.uscis.gov/i-765
Copy of fully completed I-983*
Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.
Training Plan for STEM Students. https://www.ice.gov/doclib/sevis/pdf/i983.pdf
Reporting Requirements*

I certify the information I have provided is, to the best of my knowledge, accurate. I understand that I am required to make a validation report to Bates College every 6 months. I understand I must report address changes, current (U.S.) or permanent (outside U.S.) within 10 days of any change.
Email
This field is for validation purposes and should be left unchanged.

Information collected through this form is covered by our website Privacy Policy.

STEM Extension I-20 Request Form

STEM OPT Extension I-20 Request

I-20 processing time is 5-10 business days