OREGON STATE UNIVERSITY

17-Month OPT STEM Extension Validation Report

Please complete all relevant fields below to submit your six month validation report. Leave the Employment End Date field blank if you are currently employed.

* denotes a required field

   
SEVIS ID: *
 
Current Residential Address
Street Line 1: *
City: *
State: *
ZIP Code: *
 
Current Employer Details
Company Name: *
Street Line 1: *
Street Line 2:
City: *
State: *
ZIP Code: *
 
Employment Status
Are you still engaged in practical training with the employer above? *
Employment Start Date: *
Employment End Date: