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OPT Status Update—STEM Extension

Your address change will not be sent or processed until you have clicked one of the "SEND" buttons below. Please note that students do not need to complete an AR-11 form any longer. IPS updates your address in SEVIS when we receive it.

* Required fields

Student's Michigan Tech ID Number *

Student's SEVIS ID

This can be found in the upper-right-hand corner of your I-20.

Name *

Email *

Part I: Initial approval notification

My 17-month STEM extension was approved. I have scanned/emailed a copy of my new EAD card to ips@mtu.edu.

Note that you must NOT work in paid position for any employer that is not E-Verify employer while you are in STEM extension

Part II: 6-month verification of employment information

I am working on 17-month STEM extension and am reporting 6-month mandatory verification of employment

The following information is required on this form even if we already have it on file:

Your name as it appears on your EAD card

Your current residential address:

Residential Address—Address Line 1

Residential Address—Address Line 2

Residential Address—City

Residential Address—State

Residential Address—ZIP Code

Residential Address—Telephone #

Will this also be your mailing address? Yes No

Your current mailing address:

Mailing Address—Street Address Line 1

Mailing Address—Street Address Line 2

Mailing Address—City

Mailing Address—State

Mailing Address—ZIP Code

Current STEM Employer—Company Name

Employer—Department/Division

Employer address as it is listed with E-Verify (check with your employer if necessary)

Address—Street Address Line 1

Address—Street Address Line 2

Address—City

Address—State

Address—ZIP Code

Employer address where you are working (enter only if DIFFERENT than the address above)

Address/work location—Street Address Line 1

Address/work location—Street Address Line 2

Address/work location—City

Address/work location—State

Address/work location—ZIP Code

Employer — Telephone

Current STEM Employer—Date you began working for this employer

(Ex: MM/DD/YYYY)

Press the "Send" button below to submit your address change.