OPT Update Form

All OPT students are required to report any employment and address update within 10 days of change.

Student First Name

Student Last Name

Phone Number

Student Address - (U.S.)

City - (U.S.)

State/Province - (U.S.)

Zip/Postal Code

Email

Employer/Company Name

Employer/Company Address

Employer/Company City

Employer/Company State

Employer/Company Zip/Postal Code

First Date of Employment

Last Date of Employment

Is this a full-time employment?
Yes (more than 20 hours per week)
No (less than 20 hours per week)

Is this employment directly related to your area of study?
Yes (employment will be entered in SEVIS)
No  (employment is not eligible to be entered in SEVIS)

Complete/Ending OPT?
Yes
No

Date of departure from U.S.

Any comments or questions?

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Contact Information
iip@miracosta.edu
P 1.760.795.6897
F 1.760.757.8209

Location
Campus Map
Oceanside Campus
Building 3400, Rm 3443
(Parking lot 3B)

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Mailing Address
MiraCosta College
IIP, #12A
1 Barnard Drive
Oceanside, CA 92056

Office Hours
Monday to Friday (8 a.m.-5 p.m.)