I983

I983

i-983

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SECTION_7 6

1.

MaxOPT
 Student Name : +
Student Email: email.
Name of School Recommending/Name of School Where Stem Degree Was Earned:

Sevis School Code : SEVIS I-20

DSO Contact Information : isso advisor
Student SEVIS ID Number: I-20 SEVIS ID
Stem Opt Requested Period:

12 OPT 12 OPT

17 STEM OPT 24

(CIP) Code:
http://nces.ed.gov/ipeds/cipcode/default.aspx?y=55
http://www.ice.gov/sevis .

Based on Prior Degree?

1) YesSTEM OPT STEM

2) No: STEM

2.
 MaxOPT

3.

MaxOPT

EIN :
(NAICS) Code: code.
http://www.census.gov/cgibin/sssd/naics/naicsrch?chart=2012
OPT Training Hours Per Week: OPT 20

Compensation:

4.
 MaxOPT

signatory authority
training plan

5. STEM OPT

(Student Role)(Goals and Objectives)(Employer Oversight)
(Measures and Assessments)(Additional Remarks)

Student Role STEM

(span of time)
Goals and Objectives

Employer Oversight

Measures and Assessments

Additional Remarks

6. (Employer Official Certification)

DSO Employer Identification Number

7. (Evaluation On Student Progress)

(Evaluation On Student Final Progress)
(self-evaluation) OPT 12

;
STEM OPT ;