OPT Reporting – STEM Employment
Information About You:
Last Name
First Name
Street Address (where you live)
City
Zip Code
State
RIT ID Number (no dashes)
Personal (Non-RIT) Email
Cell Phone
_____________________________________________________________________________________
Employment Information:
Were you previously employed?
Yes
No
If you were previously employed, where did you work?
When did that employment end?
mm/dd/yyyy
Current employment information:
Full Time
Part Time
Name of Company
Job Title or Position
Employer Identification Number (EIN)
Employment Information (continued)
Company Address
Street
City
State
Zip
Start Date
End Date
(mm/dd/yyyy)
(mm/dd/yyyy)
Supervisor's First Name
Supervisor's Telephone
Supervisor's Last Name
-
-
area code - XXX - XXXX
Supervisor's Email
Explain how employment is related to course work
For example: "At RIT I majored in electrical engineering and in this position I am working as an
electrical engineer. I am working on the design and testing of power generation equipment."
Please provide any other information you would like us to know about your employment
situation:
Note:
If your employment status changes please use the OPT Reporting forms on the ISS website
Clicking the "Submit" button below will open an email to [email protected].
This form will be an attachment to the email. Please be sure to click "Send" so
the form is sent to International Student Services.
SUBMIT
If you are unable to submit this form online you may save it to your desktop
and attach it to an email to [email protected], or
print it out, fill it in by hand, and email a scanned copy to [email protected]