STEM OPT Data Validation Form

F-1 students on STEM OPT are required to submit this form every six months to report their employment and verify their information.

Thank you for taking the time to complete this verification form.

Our accreditation requires that a third party verify graduate placement data. In the near future, you may receive a follow-up call or email from our third-party verifier, Auxicent, to confirm the information provided in this form.

NOTE: if there are any changes to the employment, please submit the
"OPT/STEM OPT Employment Verification Form"

1Personal Information > 2Employment Information > 3Acknowledgment
1 - PERSONAL INFORMATION
Student's Name Student's Name First Last
Student Email (WUST email)
Student SEVIS Number
Minimum of 11 characters required. Currently Entered: 0 characters.
Phone Number Phone Number - ### - ### ####
Current Address Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Program
Graduation Date: Graduation Date: / MM / DD YYYY
STEM OPT Card

Please upload a copy of your EAD Card
STEM OPT Approved Start Date STEM OPT Approved Start Date / MM / DD YYYY
STEM OPT Approved End Date STEM OPT Approved End Date / MM / DD YYYY

STEM OPT Data Validation Form

STEM OPT Data Validation Form

1 - PERSONAL INFORMATION