ࡱ> O  bjbj ee%T T 8$ [[%;QQiC2C >CZZZZZZZ$?^`J[FC>B>BFCFC[Qi'[DDDFCFQiZDFCZDDHVDXQPD!ݳCF WZ+[0[[4W?aC?a(DXDX&?ajX\FCFCDFCFCFCFCFC[[fDFCFCFC[[FCFCFCFC?aFCFCFCFCFCFCFCFCFCT _: STEM OPT Reporting Form UA ID: Last Name and First Name: Current residence address Street Address: City, State, Postal Code: Phone number: Email address: NOTE: Email address listed above will be entered to your SEVIS record if not already associated with your SEVIS record. Mailing address (if different) Street Address: City, State, Postal Code: Employer Information Employer/Business Name: Street Address: Address line 2 (optional): City, State, Postal Code: Is your employer e-verified? Employment information Position title: Hours per week: Employment start date: By checking the box below, I am certifying that my current employment information on the Form I-983, Training Plan for STEM OPT is current.  HTMLCONTROL Forms.HTML:Checkbox.1  Date: Students signature:     215 Eielson Building PO Box 757760 Fairbanks, Alaska 99775-7760, USA UAF-InternationalPrograms@alaska.edu www.uaf.edu/oip/ Globally Inspiring UA is an AA/EO employer and educational institution and ʎ discrimination against any individual:  HYPERLINK "http://www.alaska.edu/titleIXcompliance/nondiscrimination" www.alaska.edu/titleIXcompliance/nondiscrimination.  =W   8 d z  M  䛊q[H%hvRhvR0JB*CJ^JaJph333*jhy!h_<B*CJU^JaJph3330j5d hy!h_<B*CJUV^JaJph333!hy!hB*CJ^JaJph333*jhy!hB*CJU^JaJph333%hy!h0JB*CJ^JaJph333$hy!h5B*CJ^JaJphhy!hV^CJ^JaJhy!hCJ^JaJhy!h5CJ^JaJ!<=Wh  8 I d e z  # 4 L M gd$a$gdM    ! 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