All Harvard F-1 students on OPT are required to report to the HIO any of the following changes within 10 business days: Name and address of employer Any change of name of student or residential address Any interruption of employment Given Name * Last Name * SEVIS ID * (The SEVIS ID is found on your SEVIS Form I-20 in the top left hand corner, beginning with the letter "N". Format your entry like this: "N1234567890") Have you already submitted the following update via the SEVP Portal? * Yes No (Note: Use of the Portal is optional) Are you updating your employment? * Yes No, I only need to report a change of address Employment Are you self-employed? * Yes No If yes, please indicate your primary work location in the employer address field Is this concurrent employment? * Yes No (i.e. are you working for multiple employers at once?) Have you ended work for a CONCURRENT employer? * Yes No Which concurrent employment has ended? (please list all applicable) * What is the end date of that employment? * Have you ended work for a PREVIOUS employer? * Yes No Which employment has ended? (please list all applicable) * What is the end date of that employment? * Add new employment? * Yes No Employment Section Job Title * Start Date * Year Year20162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Relationship to Degree * Describe how the position draws on knowledge gained and developed during your program in 2-3 sentences. For example, you may cite specific coursework; dissertation or thesis research; or lab work that has provided you with fundamental knowledge you use in your job duties. Is this full-time employment (20 hrs per week or more)? * Yes No Employer Name * Address 1 * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Add second new employment? Yes No Employment Section 2 Job Title Start Date Year Year20162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Relationship to Degree Describe how the position draws on knowledge gained and developed during your program in 2-3 sentences. For example, you may cite specific coursework; dissertation or thesis research; or lab work that has provided you with fundamental knowledge you use in your job duties. Is this full-time employment (20 hrs per week or more)? Yes No Employer Name Address 1 Address 2 City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Add third new employment? Yes No Employment Section 3 Job Title Start Date Year Year20162017201820192020 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Relationship to Degree Describe how the position draws on knowledge gained and developed during your program in 2-3 sentences. For example, you may cite specific coursework; dissertation or thesis research; or lab work that has provided you with fundamental knowledge you use in your job duties. Is this full-time employment (20 hrs per week or more)? Yes No Employer Name Address 1 Address 2 City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Where do you currently reside? * In the U.S. Outside of the U.S. Current Residential Address Address 1 * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Telephone Number * Foreign Address * Please list your foreign address Email address * This employer update will not generate a new I-20. If you need an updated travel signature, please contact your HIO Advisor. Note, your travel signature is only valid for 6 months at a time during Post-Completion OPT. You will receive an automatic email confirmation from Harvard International Office upon submission of this form.
