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OPT Request Form

First Name

Middle Name

Last Name

Degree

Requested OPT Start Date:

A copy of your passport biographic page.

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

A copy of your F-1 Visa.

A copy of your most recent I-94.

A copy of your previous EAD card, if applicable.

A copy of your Program Completion Letter

I understand Regulation 1

Regulation 1*

8 CFR 214.2 (f) (5) defines the duration of status for F-1 students as the “time during which an F-1 student is pursuing a full course of study at an educational institution approved by the Service for attendance by foreign students, or engaging in authorized practical training following completion of studies…”

I understand Regulation 2

Regulation 2*

8 CFR 214.2 (f) (17) requires that “A student must inform the DSO and the Service of any legal changes to his or her name or of any change of address, within 10 days of the change, in a manner prescribed by the school. A student enrolled at a SEVIS school can satisfy the requirement in 8 CFR 265.1 of notifying the Service by providing a notice of a change of address within 10 days to the DSO, who in turn shall enter the information in SEVIS within 21 days of notification by the student.”

I understand Regulation 3

Regulation 3*

8 CFR 214.2 (f) (12) requires “An F-1 student authorized by the Service to engage in practical training is required to report any change of name or address, or interruption of such employment to the DSO for the duration of the authorized training. A DSO who recommends a student for optional practical training is responsible for updating the student’s record to reflect these reported changes for the duration of time that training is authorized.”

I understand Regulation 4

Regulation 4*

8 CFR 214.3 (g) (3) requires reporting within 21 days of change in “Any other notification request made by SEVIS with respect to the current status of the student”

I understand

Hartford International DSOs can provide you with general guidance. However, any advice provided to you by our office, as well as the information above, does not constitute legal advice. Additionally, due to the fluid nature of governmental interpretation, USCIS may change its interpretation of the above-mentioned immigration policies, procedures, regulations, and eligibility requirements for benefits at any time. Hartford International will do its best to provide you with the most current guidance. All information and documents included with the I-765 application is the sole responsibility of the student.

Date

Full Name

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Regulation 4* 8 CFR 214.3 (g) (3) requires reporting within 21 days of change in “Any other notification request made by SEVIS with respect to the current status of the student”

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Regulation 4*

8 CFR 214.3 (g) (3) requires reporting within 21 days of change in “Any other notification request made by SEVIS with respect to the current status of the student”