OPT Employment Ended Report
Use this form to report the last day you worked when changing OPT employers or when ending your OPT. If you have questions, contact Tanya Brakhage at tbrakhage@georgiasouthern.edu.
Full name (first and last name):
Your answer
E-mail address
Your answer
Name of Employer
Your answer
First Date of Work with that Employer
MM
/
DD
/
YYYY
Last Date Worked with that Employer
MM
/
DD
/
YYYY
Submit
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