OPT Employment and Address Report Form | myEOL

Current OPT Employment and Address Report Form
Employment Status Information
Employer 2
Employer 3
Complete

Throughout your period of optional practical training (OPT) employment, remember that you must make updates to your contact information, address and employment information to the Office of International Affairs.

Instructions: Please fill in and submit the requested information below if you change employers while on OPT. Please list your employers below in the order of employment. For example, your first employer should be listed in the field “Employer 1,” your second employer should be listed in the field “Employer 2” and so on.

Contact Information

Last/Family Name

Middle Name

First/Given Name

Banner ID#

Date of Birth (mm/dd/yyyy)

Cell Phone Number

NCCU Email Address

Alternative Email Address

Address

City

State

ZIP Code

Country