OPT UPDATE FORM

Today’s date:

First Name:

Middle name:

Last name:

SEVIS ID: N

Email:

Physical Address (where you live!)

City:  State:    Zip code:

Mailing address (if different from above)

City:     State:      Zip code:

EMPLOYER:

Your Job title:

Dates employed at this job: through present

Company name:

Address:

City:   State:Zip code:

MY OPT:

Dates authorized: through

 Are you currently enrolled in any classes at the University of South Carolina?      Yes               No 

UNEMPLOYED? Please list dates:

through

through