SAU I-765 Instructions This PowerPoint provides simple instructions to complete the I765 form for OPT STEM Extension. USCIS also provides instructions on how to complete the I-765 form on their website. It is recommended that you read through them if you have any additional questions.

Introduction This PowerPoint will explain each part of the I-765 form. If there is an item number missing, enter N/A. Pictures will accompany where examples will be helpful. **If possible, type all information directly into the .pdf before printing. USCIS uses a machine to read the information entered on this form. Handwritten forms may cause the machine to make errors when converting the information into electronic form. *Do not write anything at the top of the page.

Parts 1 and 2 Part 1: Reasons for Applying Select 1.a “Initial Permission to accept employment” . Part 2: Information About You Full Legal Name. Fill out 1.a, 1.b and 1.c (if applicable) with your full legal name. Use the name as it is written on your visa and passport ID page. Other Names Used. If you have had other legal names include them in boxes 2.a.-4.c. Your US Mailing Address. 5.a- If using an address of someone else put their name here. If you are using our office’s address put “SAU International Office”. 5.b-5.e- Fill in with your chosen address information 6- Do you live at the address above? i. If yes, move one to Question 8 ii. If no, provide your physical address in 7.a-7.d

Part 2 Continued… Other Information. Leave 8 and 9 blank. 10. Gender - Check the relevant box. 11. Marital Status - Check the relevant box. 12. Previously filed I-765- If you have received an EAD card you will need to check yes. Most applicants will check “NO”. 13. Social Security Number If you do not have a Social Security Number, mark “no” and proceed to number 14. If you have a Social Security Number, mark “yes” and provide your SSN in 13.b. 14. Issuing Social Security Card- If you marked “No” to 13.a and want a social security card then mark “yes” and complete number 15 through 17. If you mark “No” to number 14 you can skip down to number 18. 15. Consent for Disclosure- Mark “yes” if you answered “yes” to number 14.

Part 2 Continued… 16. Father’s Name- Provide your father’s name. 17. Mother’s Name- Provide your mother’s name. Your Country or Countries of Citizenship or Nationality. Write the relevant information in 18.a. and 18.b. Place of Birth. Write the relevant information in 19.a.- 20. 20. Date of Birth - Use the U.S. style – month/day/year. Information About Your Last Arrival in the United States. 21.a. Form I-94- Write your I-94 number from your I-94 arrival/departure record. 21.b. Passport Number- Provide passport number. 21.c. Enter N/A 21.d. Country that issued passport- Provide the country that issued your passport. 21.e. Expiration date- Provide the expiration date of your passport.

Part 2 Continued… 22. Date of Last Entry into the U.S. (mm/dd/yyyy) Use the U.S. style, month first, day of week, and year. If you used automatic revalidation the last time you entered and your I-94 record was not updated with the most recent date of entry, use that date and not the last entry date on the I-94 record. 23. Place of Last Entry into the U.S. If your I-94 record was updated the last time you entered the U.S., write the city where the border officer inspected your immigration documents and gave you the new card. If your I-94 record was not updated the last time you entered the U.S. because you came in from Canada or Mexico, you must remember the city on the U.S. side of the border where you entered and write that city. 24. Status at Last Entry into the US. (Visitor, Student, etc.) If you were an F-1 the last time you came into the U.S., write “F1 Student”. If you were not an F1 student the last time you came into the U.S. because you entered in another status and then applied for change of status to F1, write your status at the time of your last entry. 25. Current Immigration Status- Write “F1 Student”.

Part 2 Continued… 26. SEVIS Number- Look on your I-20 and provide your SEVIS ID number at the top of the I-20. 27. Eligibility Category- Write “(c)(3) (C)” here. 28.a. Degree- Enter your CIP code (01.2345). You can find this information on the first page of your I20. 28.b. Employer’s Name as Listed in E-verify- The E-verify number can be provided to you by the employer. If in doubt, USCIS has developed a search tool to search all currently enrolled employers. Please follow the link below: https://www.e-verify.gov/about-e-verify/e-verify-data/participating-employers 28.c. Employer’s E-Verify Company Identification Number- This should be a number with 6-7 digits.

Part 3 Part 3: Information About You Select 1.a. ‘ I can read and understand English’. Applicant’s Contact Information 3. Daytime Telephone number- Enter your daytime phone number. 4. Applicant’s mobile number- Enter your mobile phone number. 5. Applicants email- Enter your email address. Applicant’s Signature 7.a. This must be an original signature, in blue ink. Read the certification paragraph and sign your name (making sure to sign within the lines). This signature will appear on your EAD card. 7.b. Date, U.S. style (the date of signature must be within 30 days of the day USCIS receives your application) You can now progress to Part 6 (page 7)

Part 6. Additional Information This section is used for anyone who has had multiple SEVIS ID numbers or has been on CPT or OPT. Enter your full name in boxes 1.a., 1.b. and 1.c. 2. Leave blank 3.a.-7.a. This is the part for you to fill in information about your past SEVIS history. You need to fill in a section for each past SEVIS number, CPT authorization or OPT authorization that you have been granted. The pictures below show how to fill in the form. Past CPT Authorization. Top three boxes: Enter the numbers 3, 2, 27 First line: CPT Authorization Second line: Full-time or Part-time Third line: Enter your SEVIS ID Fourth line: The name of the company that you worked for Fifth line and beyond: Start and end date of employment and the classification of the degree that you were studying for at the time of the CPT internship class.

Part 6 Continued… Past OPT Authorization. Top three boxes: 3, 2, 27 First line: OPT Authorization Second line: Full-time Third line: Enter your SEVIS ID Fourth line and beyond: Start and end date of the OPT period and the classification of the degree that the OPT is based upon. Previous SEVIS ID numbers (one section for each number) Top three boxes: Enter the numbers 3, 2, 26 First line: Previous SEVIS ID Number Second line: Enter your previous SEVIS ID number Fourth line: Start and end date of the period that you used this SEVIS ID number.