International Student Services

OISS - OPT Validation

OPT Reporting Submission Table

First Name*

Last Name*

La Sierra ID*

Current Address*

Current City*

Current State*

Current Zip Code*

Current Phone*

Current Email*

Job Title*

Explanation*Explain how employment is related to your course of study. (Be specific, this description will be in your I-20. One good paragraph is appropriate.)

Are you currently employed?*

Yes

Self Employed?*

Yes

Full Time / Part Time*

Full Time (more than 20 hours/week)

Part Time (less than 20 hours/week)

Adding/Removing OPT Employer 1*Is this a new employer, an additional employer, or are you not working there anymore?

New Employment

Additional Employment (i.e. second employer)

Leaving Employment

Start Date Employer 1*Exact date you will start or started working.

End Date Employer 1 Fill out if you have left employment.

Employer 1*Employer Name

Employer 1 EIN Highly Recommended

Employer 1 Address*Include Address, City, State, and Zip Code

Employer 1 Supervisor Full Name*

Employer 1 Supervisor Phone Number

Employer 1 Supervisor Email

Employer 2 Employer Name

Employer 2 EIN Highly Recommended

Employer 2 Address Include Address, City, State, and Zip Code

Employer 2 Supervisor Full Name

Employer 2 Supervisor Phone Number

Employer 2 Supervisor Email

Employer 3 Employer Name

Employer 3 EIN Highly Recommended

Employer 3 Address

Employer 3 Supervisor Phone Number

Employer 3 Supervisor Full Name

Employer 3 Supervisor Email

Employer 4 Employer Name

Employer 4 EIN Highly Recommended

Employer 4 Address Include Address, City, State, and Zip Code

Employer 4 Supervisor Full Name

Employer 4 Supervisor Phone Number

Employer 4 Supervisor Email

Don't fill this field!

Get To Know Us

About the department
International Office Staff

Students

Current Students
New Students

Contact And Location

oiss@lasierra.edu
(951) 785-2237
(951) 785-2919
Administration Building, Room 206

International Student Services

Report OPT Employment

OISS - OPT Validation

OPT Reporting Submission Table