FINAL STEM OPT Validation Report

SEVIS ID Number

Full Name (First/Given and Last Name)

Purpose of completing this form today:

I have reached the end of my second year of STEM OPT and submitting the required final validation

I am reporting the end of my employment with this employer. I have a new employer

I am reporting the end of my employment with this employer. I DO NOT HAVE a new employment to report

OTHER

Enter the date you reach the 2-year mark of STEM OPT employment (mm/dd/yyyy)

Enter the date that your Final STEM OPT validation is due (mm/dd/yyyy)

Upload Completed I-983 Page 5 'FINAL EVALUATION ON STUDENT PROGRESS'

or drag here

Confirmation of Validation Information

By checking this box, I am certifying that the I (the student) have reported my current address and provided current employment information on the Form I-983, Training Plan for STEM OPT.

By checking this box, I am certifying that I (the student) have submitted a complete self-evaluation on the Form I-983 to the instructional site.

Student Name (Typed)

Student Signature

Type your name below to generate a signature.