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End of Employment (for students on OPT/OPT Extension)

This form is for students that have ended employment on Optional Practical Training or Optional Practical Training Extension, and are actively seeking employment. Please remember that students on OPT are only allowed 90 days of unemployment, and students on OPT Extension are allowed an additional 30 days for a total of 120 days of unemployment.

First Name*
Last Name*
Student Number*
Phone Number
E-mail Address*
Current Street Address*
Zip Code*
Employer Name*
Date Employment Ended*