TIPS FOR
COMPLETING YOUR APPLICATION (I-765)
General
Instructions: You must complete all items (1-16 and
#17, if applying for the 17 month extension for degree holders in a STEM field).
Read, sign, and date the certification section. Although neither the Graduate
School nor the Cranwell Center is required to read or verify I-765, we will be
happy to review the completed form with you.
ITEM IMPORTANT INFORMATION
Applying for: Check
“permission to accept employment” for your initial application, or “renewal”,
if you are extending a previously approved OPT program.
1
Name: Enter your name as it appears on your I-20
form and passport
2
Other
names used: Include all the names here that appear
in your passport but not on your I-20. List any other names that you have used
on official documents in the United States.
3
Address:
Print clearly and be sure to include the complete
address. USCIS will send all communication to this address, including your work
authorization card. This address also determines where you must file the
application. If your address changes after the submission of your
application, you must notify USCIS in writing of your new address.
4-8 Self-explanatory
(for date of birth use month/day/year format)
9
Social
Security Number: The number appearing on your
social security card. DO NOT use
your Virginia Tech identification number that begins with “900-xx-xxxx”, or any
other VT generated number.
10
Alien
Registration Number (I-94 number): Use the
eleven-digit identification number on your I-94 card (in the upper left corner
of the card).
11
Previous
employment authorization from USCIS: Check “yes”
only if you submitted an application directly to USCIS (for example: for
optional practical training, or internship with an international organization).
Do not include on-campus employment or curricular practical training (co-op) or
work authorization that was granted based on a different visa status (such as J
or H).
12-15 Last entry and current status: Obtain
this information from your current I-94.
16
Employment
eligibility section: This is a reference to the
regulations permitting your employment.
·
Write (c) (3) (A) for pre-completion OPT
·
Write
(c) (3) (B) for post-completion OPT
·
Write
(c) (3) (C) for 17 month extension for STEM degrees
17
If
applying for the 17 month extension for degree-holders
in a STEM field: Identify the degree you have received, and provide a copy of
your diploma. Provide your employer’s name and the E-VERIFY employer ID number.
SIGN
the form within the lines provided, NOT outside the lines.
COMPLETION
OF ACADEMIC PROGRAM, GRADUATION DATE
Your program completion date is the
basis for determining the date you are eligible for full-time employment.
·
Graduate
Students:
Your graduation date is the date
when your thesis or dissertation is/will be submitted to the
·
Undergraduate Students:
Your graduation date is the last day of the last semester in which you
are enrolled.