STEM Extension I-20 Request Form

STEM OPT Extension I-20 Request

Request International Student Programs & Services to submit your request for STEM OPT Extension in SEVIS and issue you an I-20.

I-20 processing time is 5-10 business days
Name*
First Last
SEVIS ID Number*

Located on the upper left of your I-20. Example: N0001234567
Email*
Phone*
OPT Start Date on EAD Card*
MM slash DD slash YYYY
OPT End Date on EAD Card*
MM slash DD slash YYYY
STEM Employer/Company Name*

This information must be taken from your fully completed I-983 that was filled out and signed by your employer.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

See Section 3, page 2 of the I-983 under Employer Information.
Employer Identification Number (EIN)*

00-0000000
Employer E-Verify Number*

Please check with your employer’s Human Resources Department for confirmation.
Employment Address*
Street Address Address Line 2 City State ZIP Code

See Section 5, page 3 of the I-983 under Employer Site Information.
Supervisor's Information*
First Last
Supervisor's Phone*
Supervisor's Email*
Copy of fully completed I-765
Accepted file types: gif, jpg, jpeg, png, pdf, Max. file size: 4 MB.
Only required if you will submit your STEM OPT application by mail. See form and instructions https://www.uscis.gov/i-765
Copy of fully completed I-983*
Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.
Training Plan for STEM Students. https://www.ice.gov/doclib/sevis/pdf/i983.pdf
Reporting Requirements*

I certify the information I have provided is, to the best of my knowledge, accurate. I understand that I am required to make a validation report to Bates College every 6 months. I understand I must report address changes, current (U.S.) or permanent (outside U.S.) within 10 days of any change.
Phone
This field is for validation purposes and should be left unchanged.

STEM Extension I-20 Request Form

STEM OPT Extension I-20 Request

I-20 processing time is 5-10 business days