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STEM OPT 6 Month Validation Report

Please complete this form every six months if you are an F-1 student currently on a 24-month STEM OPT Extension. This form must be completed within 10 calendar days of 6, 12, 18, and 24 months following the start date of your STEM OPT period. You must submit this report to the International Student Services, even if your employment has not changed.

If you have multiple jobs, you must submit this Validation Report for each job (i.e. if you have two jobs, submit this form twice).

If you have questions about this requirement, please contact the Bellevue University International Student Services at iss@bellevue.edu.

STEM OPT 6 Month Validation Report

Is your mailing address above the same as your physical address? (Required)
Required if mailing address is different from physical address.
Required if mailing address is different from physical address.
Required if mailing address is different from physical address.
Required if mailing address is different from physical address.

Additional Information

Please choose the month for reporting: (Required)

STEM OPT current employment


Complete this section if you are currently employed on STEM OPT.
I am currently employed on STEM OPT
Please review the employment information listed on Page 2 of your I-20 and Pages 1-4 of your I-983. Are all details on both documents up to date for this employer?
Are both documents up to date? (Required)
If you do not have changes to report, please confirm by reading and checking the confirmation below.
Confirmation
If you do have changes to report, complete the employer information section.

Employer Information

Employer Identification Number
mm/dd/yyyy
(Match the official information listed on page 3 your most recent I-983 form.)
(Match the official information listed on page 3 your most recent I-983 form.)
(Match the official information listed on page 3 your most recent I-983 form.)

STEM OPT previous employment


Complete this section if you were previously employed on STEM OPT.
I was previously employed on STEM OPT and am now unemployed.
mm/dd/yyyy

Documents

  • At 12-months, you must complete first “Evaluation of Student Progress” portion of the I-983 Form (top box on page 5), and send it to iss@bellevue.edu, within 10 calendar days of 12 months following the start date of your STEM OPT period.
  • At 24-months, you must complete and submit a second/final assessment (the bottom box on page 5 of the I-983 Form), and send it to iss@bellevue.edu, within 10 calendar days of 24 months following the start date of your STEM OPT period.
  • If you change employer while on STEM Extension (if you stop working for an employer, no matter how long the position lasted), you must submit a Final Evaluation (bottom of page 5 of the I-983 Form), and send it to iss@bellevue.edu, within 10 calendar days of the change.

Statements of Understanding

I confirm that the information listed on this form is true and accurate to the best of my knowledge. I also understand that this information may be reported to the U.S. government and that if I fail to report changes, my F-1 status and work authorization may be affected. (Required)
I understand that I am required to complete this STEM validation report to Bellevue University International Programs every 6 months. I understand I must also report any changes to my contact details or employer information within 10 days of any change. Changes must be reported through the OPT Student Update Form. (Required)
I understand that if this is my 12th or 24th month, I must submit the evaluation on page 5 of the I-983 to iss@bellevue.edu within 10 days of the deadline. (Required)

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