OPT Employer Reporting

Congratulations on your new position! Please complete the below information so that GVSU may accurately report your employment to Immigration. If you have any questions, email [email protected]

You should use this form whether it is a new job or a change in job, or a change of your employers details (change of address, supervisor, etc)

* denotes a required field

What is your first name on your I-20 *

What is your Last Name on your I-20? *

What is your GVSU ID Number? *

What is your email address? *
Please enter a GVSU email address ending in @gvsu.edu or @mail.gvsu.edu.

What is your Job Title? *

What date will you begin working? *

How many hours a week are you expected to work? *

Is this position full time or part time? *

What is your Employer's Tax ID number (also known as an EIN number)? *

What is the name of your supervisor (First and Last) *

What is your supervisor's email address? *

What is your supervisor's phone number? XXXXXXXXXX *

What is the name of the company you will work for? *

What is the address of your company? *

City *

State/Province *

Zip/Postal *

How does this position relate to your major? *

Please upload a copy of your job offer letter (copy of an email offer is fine) *
Please upload a file with the extension .doc, .pdf, .rtf, .docx, .pub, .bmp, .gif, .jpeg, .jpg, .png, .tiff, or .txt with a maximum size of 2 MB (2048 KB)

Human Verification *

Page last modified December 19, 2022

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