OPT Employment and Address Form
Please use this form to report or update the following:
1. Your Employer Information.
2. Your Residential Address.
3. You have departed the U.S. and do not plan to return in F-1 status.
Note: If your visa status has changed please email bcis@bc.edu and include a copy of your new visa documentation. You do not need to complete this form if you are no longer on an F-1 visa.
Employment Status *
* U.S. Departure Date
Fill this out only if you will depart or have departed the U.S. and DO NOT plan to return in F-1 status to finish your OPT. Your F-1 SEVIS record will be completed and you will no longer be able to use your OPT.
MM
/
DD
/
YYYY
First (Given) Name: *
Your answer
Last (Family) Name: *
Your answer
Non-BC Email Address *
We will use this address to send you any important immigration updates- please use one you check regularly
Your answer
OPT Start Date (Date on Employment Authorization Card) *
MM
/
DD
/
YYYY
OPT End Date (Date on Employment Authorization Card) *
MM
/
DD
/
YYYY
U.S. Residential Address 1
Your answer
U.S. Residential Address 2
Use this line for apartment or suite number, building name etc.
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
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