Optional Practical Training Unt International I20 Form
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4International Student and Scholar Services
• 940-565-2195 (phone) • 940-565-4145 (fax) • MARQ 125 •
17 Month STEM Extension: Optional Practical Training
New I-20 Application
Biographical Data
Family Name:
First and Middle Name
Birth Date:
UNT Student ID:
Gender:
Male
Female
U.S. Street Address:
City:
State:
Zip:
Phone #:
Email #1:
Email #2:
Country of Citizenship:
Passport Expiration:
Visa Expiration:
Major:
Degree Level Completed:
Date Completed:
Current OPT Start Date:
Current OPT End Date:
Employment Information:
Name of Company as Listed in E-Verify System:
Company Address: __________________________________________________________________________
__________________________________________________________________________
(No PO Boxes-
City: _______________________ State:__________ Zip Code: ________________
Physical Location
Of Employment)
Start Date with Current Employer (MM/DD/YYYY):________________________
Additional Information:
I-20 Pick-Up:
I will pick-up the I-20 myself
Please mail the I-20 to my current address listed above.
(Please note, we will mail by regular USPS unless you want to pay for Express mail.)
Someone will pick up the I-20 for me. Name of Person: _____________________________
Submit this form to ISSS and a new I-20 will be created with your OPT recommendation.
Normal processing time is 7-10 business days.
I have fully completed the above information and understand the regulations regarding this process:
If I have any questions, I will consult with an ISSS Advisor.
Signature
Date:
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