STEM OPT Annual Evaluation

Who should use this form?: Students currently on STEM OPT that need to submit their annual (12 month and 24 month) evaulations.
Do not use this form if...: You need to submit a final self-evaluation as part of the requirements to change jobs while on STEM OPT Please submit that evaluation with the change in employer form.

Identification Information

Last Name

First Name

SEVIS ID

Birthdate

Current Email Address

Reporting Options *

12 Month Evaluation
24 Month "Final" Evaluation
End Date of STEM Employment:

Employment Validation *

I am currently employed at the employer on file. There are no changes to my address, contact, or employment information.

Evaulation Information

Employer Name

Copy of Evaluation (Page 5 of I-983)

Choose file(s)

Files must be smaller than 2MB and must be one of the following file types: gif, jpg, jpeg, png, pdf

Information Certification *

I certify that, to the best of my knowledge, the above information is correct and I understand that inaccurate or invalid information could result the termination of my I-20 and my F-1 status.

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