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Rivier University

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OPT/OPT STEM Reporting

OPT/OPT STEM Reporting

Report Type*
Name*
First Last
Student Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Phone Number*
Personal Email*
Employment End Date*
MM slash DD slash YYYY
Mandatory Upload of I-983 Page 5*
Max. file size: 16 MB.
Final evaluation from previous employer.
Mandatory Upload of I-983 For New Employer*
Max. file size: 16 MB.
Student Signature*

I confirm that my address and employer are as listed above and as noted in my I-983.
Mandatory Upload of I-983 Page 5*
Max. file size: 16 MB.
Student Signature*

I confirm that my address and employer are as listed above and as noted in my I-983
Mandatory Upload of I-983 Page 5 - Final Evaluation*
Max. file size: 16 MB.
I was approved for an H1B.*
- No
- Yes
I was approved for a visa other than H1B that permits me to remain in the United States.*
- No
- Yes
I am returning to my home country after the end of my OPT STEM period and am not changing my status.*
- No
- Yes
Please provide any additional comments.
Employment Information
Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company EIN Number
E-Verify Number
Job Title*
Employment Start Date*
MM slash DD slash YYYY
Employment End Date
MM slash DD slash YYYY
Hours of employment per week*
Brief Statement*
Please provide a brief (2-3 sentence) statement describing how your employment relates to your coursework while attending Rivier University
Important reminder for OPT STEM applicant: Submit a new and completed Form I983 (pdf) whenever you report a change of employer to globalengagement@rivier.edu Your OPT STEM update is not complete without submitting that required form.
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Contact

Office of Global Engagement

Telephone (603) 897-8782
Email globalengagement@rivier.edu
Location Memorial Hall

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