*Student's Michigan Tech ID Number (Begins with "M")

Student's SEVIS ID (Begins with "N000")
This can be found in the upper-right-hand corner of your I-20.

*Name

*Email

Check ALL that apply. If you check more than one box, be sure you complete all appropriate sections of this form.

    I am reporting a new employer (including my first employment on OPT).
Please complete Section 1 below.

    I have not changed employers but am reporting a change in work location.
Please complete Section 3 below.

    I am or will be unemployed and I am reporting an end date for my current or most recent employment.
Please complete Section 2 below.

    I have left the US and do not plan to return on my Michigan Tech F-1 student visa.
Please complete Section 2 below.

    My 17-month OPT extension was approved with a start date of

    I am working on my 17-month OPT extension and am reporting my 6-month mandatory verification of employment.
Please complete Section 1 below.

    I am reporting information about a Change of Status application (H1-B, etc.).
Please complete Section 4 below.

     I have changed my mailing, home country, or US address.
NOTE: A new window will open with the IPS Address Change Form.
Please complete and submit BOTH the address and employment forms.

    OTHER: I don't find an option above that fits. Please complete Section 5 below.

SECTION 1 — New Employer (Including your first employer if not listed on your OPT I-20)

Fill in ONLY "Company Name" if you are on 17-month OPT extension and verifying your employment at 6 or 12 months.

New Employer — Effective Date (Day/Month/Year)

New Employer — Company Name

New Employer — Department/Division

New Employer — Street Address Line 1

New Employer — Street Address Line 2

New Employer —City

New Employer — State

New Employer — ZIP Code

New Employer — Telephone

If you have no other changes to make, Click "SEND" and then clear the form.

SECTION 2 — Currently unemployed or employment is ending

Termination of employment — Effective Date (Day/Month/Year)
If you have not been employed while on OPT, enter the date you completed your degree.

Last employer (the one that ended on the date above)

Please provide the following information if you are not currently employed in the US. Your employment status must be reported in SEVIS. If you are unemployed for more than 90 days during your initial 12-month OPT, you will be considered out of status.

I will leave (or have left) the US.    Departure date

I have another job offer with a start date of
Please also complete Section 1 above if you haven't already done so.

    I am actively seeking employment.
Please notify IPS when you have obtained employment.

    I plan to begin a new academic program at Michigan Tech.
Complete a "Change of Level" or "Change of Program" form if you have not already done so. The link will be provided when in the auto-confirmation that you have submitted this update.

    I plan to begin a new academic program at a different university.
Complete a "Transfer Out Request Form" if you are still on your F-1 visa AND if you are not leaving the US for more than five months prior to beginning your new program. The link will be provided when in the auto-confirmation that you have submitted this update.

Currently Unemployed—Other
Please explain. You can type as much as you want and it will be sent.

If you have no other changes to make, Click "SEND" and then clear the form.

SECTION 3 — I am with the same employer but have changed department, division, or physical location.

Employer Name —

Changed Employer Location — Effective Date (Day/Month/Year)

Changed Employer Location — Division/Department

Changed Employer Location — Street Address Line 1

Changed Employer Location — Street Address Line 2

Changed Employer Location — City

Changed Employer Location — State

Changed Employer Location — ZIP Code

Changed Employer Location — Telephone

If you have no other changes to make, Click "SEND" and then clear the form.

SECTION 4 — Change of Status application

    My H1 Visa has been aproved. Effective Date
Please scan and email a copy of your approval notice to IPS@mtu.edu.

    I have applied for Permanent Resident Status.
Please scan and email a copy of your receipt to IPS@mtu.edu.

Change of Status—Other
Please explain. You can type as much as you want and it will be sent.

SECTION 5—Nothing above seems to fit my situation.
Please explain. You can type as much as you want and it will be sent.

Press the "Send" button below to submit your updates.
Press "Clear" to start over: