Form I-983 answers for Section 1: Student Information
Student Name (Surname/Primary Name, Given Name): Enter your Last name, First name
Name of School Recommending STEM OPT: University of Central Missouri
Name of School Where STEM Degree was Earned: University of Central Missouri
SEVIS School Code of School Recommending STEM OPT (including 3-digit suffix):
This code is listed in the ‘School Information’ section on your most current I-20. Look for ‘School Code and
Approval Date.’ One of three codes will be listed; KAN214F00100001, KAN214F00100000, or
KAN214F00100002
**Put whichever code is listed on your I-20 on Form I-983.
Designated School Official (DSO) Name and Contact Information:
**Adjust the font size or write neatly in black ink to fit all information in the given space
Cecilia Leugers
University of Central Missouri
850 NW Chipman Road, Door 54
Lee's Summit, MO 64063
660-543-4092
[email protected]
Jennifer Bock
University of Central Missouri
1800 Ward Edwards
Warrensburg, MO 64093
660-543-4092
[email protected]
Andrea Wiggins
University of Central Missouri
850 NW Chipman Road, Door 54
Lee's Summit, MO 64063
660-543-4092
[email protected]
Jana Brookshier
University of Central Missouri
1800 Ward Edwards
Warrensburg, MO 64093
660-543-4092
[email protected]
Marcie Barajas
University of Central Missouri
850 NW Chipman Road, Door 54
Lee's Summit, MO 64063
660-543-4092
[email protected]
Please use the following chart to determine which advisor to put on the form:
Advisor name:
Cecilia Leugers
Andrea Wiggins
Marcie Barajas
Jennifer Bock
Jana Brookshier
Last name starts with:
A - Dav
Daw - Kasi
Kasj - Mus
Mut - Sank
Sanl - Z
Student SEVIS ID Number:
This number is located on your I-20, near the top, right under ‘U.S. Immigration and Customs Enforcement.’ It looks
like this, SEVIS ID: N00……..
STEM OPT Requested Period: (mm-dd-yyyy) – If submitting new OPT STEM extension application
From: ________ (the day after your current OPT authorization ends)
To: ________ (add 24 months to whatever date you put in ‘From’)
STEM OPT Requested Period: (mm-dd-yyyy) – If already approved for OPT STEM and requesting to change
employers
From: ________ (the date you will begin working for the new employer)
To: ________ (enter the end date for your 24 month STEM extension)
Updated March 2017
Qualifying Major and Classification of Instructional Programs (CIP) code:
This 6-digit code is listed in the ‘PROGRAM OF STUDY’ section of your I-20. Look underneath ‘MAJOR 1,’ your major
will be listed there along with its CIP Code, which looks something like this: XX.XXXX (for Computer Science, use
11.0701; CIS & IT use 11.0103).
Level/Type of Qualifying Degree:
Masters or Bachelors
Date Awarded: (mm-dd-yyyy)
The date listed on your diploma.
If you completed your degree requirements in May 2016, that date is 05/07/2016. If you completed your degree
requirements in August 2016, that date is 08/05/2016.
Based on Prior Degree:
Enter “No” – if your application is based on your most recent degree and you are currently on OPT for that degree.
Enter “Yes” – if your application is based on a previous STEM degree, not related to your current OPT
authorization.
Employment Authorization Number:
This number can be found on your OPT/EAD Card. It’s the USCIS# that looks like this: XXX-XXX-XXX
(Be sure that you do not use the receipt number for your OPT application – receipt numbers usually begin with LIN
or YSC and should not be entered in this section of the application)
Form I-983 answers for Section 3: Employer Information – must be completed by employer
Start date of Employment: (mm-dd-yyyy) – If submitting new OPT STEM extension application
This is the day after your current OPT authorization ends, the date that your OPT STEM extension would begin.
Start date of Employment: (mm-dd-yyyy) – If already approved for OPT STEM and requesting to change
employers
This is the date that you will begin working for the new employer
Form I-983 answers for Section 5: Training Plan for STEM OPT students
Site Address (Street, City, State, ZIP):
Be sure to enter the address where you are physically working. This field is required by USCIS, and it will be the
address printed on your I-20 with your employment details.
Student Role, Goals and Objectives, Employer Oversight, Measures and Assessments:
Employer must thoroughly address all items requested in these sections of the form I-983. If information is
missing, edits will be required prior to the processing of a STEM extension I-20.
Student Role:
Specifically state what the student’s learning goals are. Specifically reference how job relates to certain classes
taken and/or how related to the STEM degree received at UCM.
Goals and Objectives:
A timeline of when goals are expected to be met must be included. This section should describe what is being
learned by the student, how, and by when.
Updated March 2017
Employer Oversight:
This section must provide details on how the student is being supervised.
Measures and Assessments:
This section must be specific to the plan and explain how student receives feedback on goals that student is
working to meet.
Evaluation on Student Progress:
This section must be left blank and should not be signed at the time of the initial OPT STEM extension application.
Students are required to submit one of the two evaluations after 12 months, and the other after 24 months of OPT
STEM extension approval.
Additional Reminders


The student and employer must sign the form I-983 before it is submitted
To avoid confusion and delays in your application, we request that a majority of the details in the form I983 be typed
Please review the following I-983 instructions for more information:
https://www.ice.gov/sites/default/files/documents/Document/2016/i983Instructions.pdf
Updated March 2017