Rev. 10/2018 pg. 1 of 1
Any OPT related correspondence sent by the Department of Homeland Security (DHS) will be delivered to
your personal address. You must submit a copy of any communication received from the DHS to the Office
of International Student Services such as approvals (OPT card), denials or request for additional evidence, in
order for us to maintain your SEVIS Form I-20 accordingly.
P
lease report any employment changes within 10 days via the SEVP Portal. For step-by-step instructions on
how to use the SEVP Portal, please visit SEVP Portal Help
.
R
equested OPT Start Date: ______/______/____________ (MM/DD/YYYY)
I confirm I have applied for graduation.
I acknowledge I have to report immediately on the following:
• Failure to graduate
• Change of legal name
• Change of contact information (address, telephone, email address)
• Employment information (name of employer, address, employment start date)
• Change of employment status (change of employer, secondary employment, etc.)
I acknowledge that
• If I accrue more than 90 days of unemployment while on OPT, my F-1 status will be terminated
unless I have taken one of the following actions:
1. Applied to continue my education at Houston Community College
2. Transferred to another certified school
3. Departed the United States – validate departure date
4. Changed my legal status
STUDENT ACKNOWLEDGEMENT: I have read the above statement regarding OPT obligatory
reporting requirements, and I realize that I must follow these rules to remain in legal status in the U.S.
____________________________ _________________________ __________________/__________
Family Name (please print) First Signature Date
____________________________ __________________________ ____________________________
Home Phone Cell Phone Emergency Contact (Name/Phone)
______________________________________________________________________________________________
Email address
______________________________________________________________________________________________
Address: Street Apt# City, State Zip code
Post-Completion Optional Practical Training (OPT)
Regulatory obligations for F-1 students
HCC ID:__________________________
SEVIS ID: ________________________
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signature
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