If you are currently on Post-Completion OPT/STEM/Cap-Gap OPT, please fill out the information below.
* indicates required fields.
Submission Date
First *
Last *
SEVIS ID# (N00......) *
Stanford Student ID #
Email (non-Stanford email) *
I have updated my SEVIS (US) Address in Axess
Your Graduation Date (Month/Year)
Start Date on EAD Card (Month/Day/Year)
End Date on EAD Card (Month/Day/Year)
Receipt# (WAC#)
Employment Status Please Select -select- Single Employer Multiple Employers Self-Employed Unpaid Employment Unemployed Work for hire
Company 1 Name
Company 1 Address
Company 1 Addres
Company 1 City
Company 1 State Please Select -select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Company1 Zip
Start Date of Employment (Month/Day/Year)
End Date of Employment (Month/Day/Year) [Please report this information within 10 days of occurrence]
Position Title
Supervisor's Name
Supervisor's Email
# of hours of work per week
Please explain how your job is in the field of your study.
Company 2 Name (if applicable)
Company 2 Address
Company 2 City
Company 2 State Please Select -select- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Company 2 Zip
End Date of Employment (if known) (Month/Day/Year)
If you have a pending/waitlisted/approved H-1B application, you will be eligible for a Cap-Gap I-20. The I-Center requires a copy of the receipt or approval notice before issuing a Cap-Gap I-20.
Application Status Please Select -select- Pending Waitlisted Approved
Application type Please Select -select- Change of Status Consular Process
Requested Effective Date (Month/Day/Year)
Company Name
I-Center requires you to submit a copy of your I-94 and visa (or approval notice) indicating your new visa status. Please note that once your visa status is changed, your SEVIS record is terminated and you can no longer use your I-20/EAD for travel and/or employment.
Your New Visa Status
Effective Date (Month/Day/Year)
Your SEVIS record will be completed if you have no plan to return to the U.S. on OPT. Once your record is completed, you can no longer use your I-20/EAD for travel and/or employment.
Final Departure Date from the US (Month/Day/Year)
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