Form i-983 example

Learn about the OPT STEM employment reporting requirements for international students at UCI. Find out how to maintain your F-1 status and work authorization.

· Form I-983 Training Plan (SEE EXAMPLE HERE) · Form I-983 instructions . Please note: this form does NOT get uploaded to your online Form I-765 application, but it is a document that the Kearney Center will need have on file before processing your new STEM OPT Extension I-20.Complete the form I-983 and submit it with all the required materials for OISS of ... Example: Your STEM Extension starts on January 10, 2018. ... Example: Your ...Edit i 983 final evaluation sample answers form. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions. ...Any student or employer questions regarding completing all other sections of Form I-983 should be directed to [email protected]. Section 1: Student Information (Completed by …The formal training plan, Form I-983, must clearly articulate the STEM OPT student’s learning objectives and affirm the employer’s commitment to helping the student achieve those objectives. To fulfill this requirement, a student and their employer must complete and sign Form I-983 and submit it to the student’s international student advisor.

I want to apply for STEM extension OPT with my employer's cooperation. I have specific questions about the Form I-983. I was instructed to send the form I-983 to my DSO. How should this form be submitted? (can it be submitted electronically or should it be sent in physical copy?) Should "student role", "goals and objectives", "employer ...Completing Form I-983 Training Plan. You and the employer must complete the I-983 training plan, and you must submit the form to ISSA with the STEM OPT form (listed under Employment Authorization Requests) in iStart. In September of 2023, the U.S. government made the change to allow electronic signatures on the form I-983. Tips for Completing ...Read the Instructions for Form I-983. This document is a general guide to help you complete form I-983. It is your responsibility to ensure that your form I-983 is completed correctly. We are required to review your I-983 and verify that it is complete, before we can recommend STEM OPT. Read the entire Instructions for Form I-983 provided by ...We would like to show you a description here but the site won't allow us.Any student or employer questions regarding completing all other sections of Form I-983 should be directed to [email protected]. Section 1: Student Information (Completed by Student): oStudent Name: Enter your full name (Surname, Given Name) exactly as it appears on your Form I‐ . oStudent Email Address: Enter the email address where you can ...Enter the Employer’s site address as shown in Section 5 of the Form I-983. *Supervisor Last Name. Enter the last name of the student’s supervisor, as shown in Section 5 of the Form I-983. This is a required field for STEM OPT. *Supervisor First Name. Enter the first name of the student’s supervisor, as shown in Section 5 of the Form I-983.The ISSS Office will be open Monday-Friday, 8am-4pm. Walk-in Advising will be available Mondays, Tuesdays, and Thursdays from 1-3:30pm. Students can stop by our office during those times (Science Library G-40) or call us at 518-591-8172 to speak to the advisor on duty. The ISSS office location will be closed Monday, May 27- Friday, May 31 while ...The employer that signs the Form I-983 must be the same entity that employs the student and provides the practical training experience. ... For example: A student receives a bachelor's degree in Engineering, but did not request STEM OPT employment authorization based on that degree. The student then receives an MBA and obtains authorization ...

Form I-983. See 8 C.F.R. 214.2(f)(10)(ii)(C)(11). Consistent with t his provision, during a site visit, DHS may verify that the employer that signs the Form I-983 is the same entity that provides the practical training experience to the student and ensure compliance. The Employer's Training Obligation: Staffing and Temporary Agencies(For example, enter achelor's, Master's, or Ph.D.) ... Form I‐983, "Training Plan for STEM OPT Students," that is not tied to a reduction in hours worked, any significant decrease in hours per week that a student engages in a STEM training opportunity, and any decrease in hours below the 20‐hours‐perweek minimum required under ...Form I-9 OMB No.1615-0047 Expires 07/31/2026 START HERE: Employers must ensure the form instructions are available to employees when completing this form. ... For examples, see Section 7and Section 1 3of the M-274 on uscis.gov/i-9-central. The Form I-766, Employment Authorization Document, is a List A, Item Number 4. document, not a List C ...You can submit your STEM OPT extension application to USCIS as early as 90 days prior to the end of your current OPT period. We recommend that you submit your STEM OPT Request via OISS Connect and upload your I-983 no later than one month prior to the end of your current Post-Completion OPT. Please remember that your complete application must be received by USCIS before yourForm I-983. See 8 C.F.R. 214.2(f)(10)(ii)(C)(11). Consistent with t his provision, during a site visit, DHS may verify that the employer that signs the Form I-983 is the same entity that provides the practical training experience to the student and ensure compliance. The Employer’s Training Obligation: Staffing and Temporary AgenciesThis form provides your DSO with the information needed to make a determination on whether you are eligible for a STEM OPT extension. Page 6 of the form is completed prior to your first year of STEM OPT. Page 7 is completed at the conclusion of your 24-month training. Students who are applying for the STEM OPT extension under the regulations in ...

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For consistency, we are asking HR liaisons to complete and sign page 2 of the I-983 form. The supervisor of the student/employee should complete and sign pages 3 and 4. Page 5 is completed by the supervisor and student within the first 12 months of the STEM Extension and upon conclusion of the STEM Extension employment.terms and conditions of the Form I-983, "Training Plan for STEM OPT Students," as of the date of receipt at U.S. Citizenship and Immigration Services (USCIS) and thus the requested period should identify a start date on or before proper filing at USCIS. o Qualifying Major and Classification of Instructional Programs (CIP) Code: Enter your STEMThe DSO’s approval of a request for a STEM OPT extension means that the DSO determined that the Form I-983 is complete and signed and addresses all program requirements. DSOs may not recommend a student for a STEM OPT extension if: The employer has not provided the required attestations. The completed Form I-983 does not otherwise reflect ...The formal training plan, Form I-983, must clearly articulate the STEM OPT student's learning objectives and affirm the employer's commitment to helping the student achieve those objectives. To fulfill this requirement, a student and their employer must complete and sign Form I-983 and submit it to the student's international student advisor.A STEM OPT student and their employer must complete and sign the Form I-983, Training Plan, as part of the documents required to apply for a 24-month STEM OPT extension. Only E-verified enrolled employers can participate in this program. The STEM OPT employer must be enrolled in and using the E-Verify program at the STEM OPT worksite.I983 Request Form Details Needed. Full Name *. Supervisor Name *. Ph.D. Field *. Research Summary (of current Postdoctoral work) How is your current Postdoc related to your Ph.D. field of study? What are you goals of your Postdoc at MIT? How frequently do you meet with your advisor (one-on-one, group meetings)? Email.

Completing the Form I-983 Training Plan. The Form I-983 is used to define the formal training plan for the STEM OPT Extension experience. You will need the following information about Notre Dame to complete Section 1 of the Form I-983 is the information you will need: Name of school recommending STEM OPT: University of Notre Dame du lacI983 make sure you are always using the most updated version of the form available on the ICE website. How to Fill Out Form I-983: General Guidelines 1. Fill Out Application Clearly Type or print legibly. Although this is a form fillable pdf, there may be sections that cannot be typed in, or after printing may not be filled in.ICE Form I-983 (7/16) Page 3 of 5 . Student's Name Smith, Jane. Employer's Name. Enter the employer's site name which may be the same as employer name in Section 3. Enter the exact address of the work site where the STEM practical training will take place. Supervisor's Name. Supervisor's Title. Supervisor's Email. Supervisor's Phone NumberPURPOSE OF THIS GUIDE: The I-983 is a form that documents how your STEM OPT employment is related to the academic degree you received and your learning objectives. The first 4 pages of the I-983 are the training plan, and this must be completed when requesting a STEM OPT I-20. The Evaluation on Student Progress and Final Evaluation on page 5 ...ICE Form I-983 (7/16) Page 3 of 5 . Student's name. Employer's name. Enter the employer s site name, which may be the same as employer name in Section 3. Enter the exact address of the work site where the \rSTEM practical training will take place. Supervisor's name. Supervisor's title. Supervisor's email. Supervisor's Phone NumberBelow is additional information that will be helpful when completing the Form I-983. Form I-983 Tips for UB Students . I-983 Instructions I-983 Section 1 I-983 Section 3. ... for example). If ISS has not already inquired with USCIS on your behalf, we will do so. File an "Outside Normal Processing Time E-Request" with USCIS.The rest of the form must be completed by you and your employer. Please see your employer to complete pages 2 through 4 of the I-983 form. • Note that you do not have to complete page 5 . when you initially submit your 24-month STEM extension application. o. It is your responsibility to complete the 1 year and 2 year evaluationsPreparing and Submitting Your STEM Application. Step 1: Complete Form I-983 (Forms and Instructions) Step 2: Submit Your STEM Extension Request to the International Center. Step 3: File your STEM Extension OPT Request with USCIS. Note: Working While Waiting for STEM Extension Approval.STEM OPT and will process this form I-983. To: under School Information. Level/Type of Qualifying Degree: Enter the academic level upon which you are basing STEM OPT. (For example, enter Bachelor’s, Master’s, or Ph.D.) Date Awarded (mm-dd-yyyy): Enter the date when the degree upon which STEM OPT will be based was awarded.1. Must be a bona fide employee of the employer completing the Form I-983. The employer signing the I-983 must be the same entity to employ you and provide the practical training experience required by the I-983. 2. Multiple employer arrangements, sole proprietorships, employment through ''temp'' agencies, employment through consulting firmBefore applying to USCIS for a STEM OPT extension, a STEM OPT student must download, complete, sign and submit the Form I-983 to their DSO. The STEM OPT student and their prospective employer must work together to complete this form.

Enforcement, Office of Policy, 500 12th Street SW, Washington, D.C. 20536. *See evaluation forms that follow for student’s first evaluation, to occur before the one year anniversary of the start date of the student’s STEM OPT. employment authorization, and final program evaluation. Form I-983 (1/16) Page 5 of 7.

To: Enter date two years from "From" date. Example: If you entered 05/12/2024 for your start date, your end date will be 05/11/2024. USC Office of International Services. Sample I-983 for USC Graduates. DISCLAIMER: This document is intended only as an informational sample.Sep 18, 2023 · September 18, 2023. The Student and Exchange Visitor Program (SEVP) updated the Form I-983, “ Training Plan for STEM OPT Students ,” to remove language requiring wet signatures. Students and employers may continue to physically sign the Form I-983 or input their own electronic signature. SEVP accepts electronic signatures in the following ... The I-983 Training Plan is intended to ensure educational benefits for F-1 students in their practical training experiences. You and your employer must complete and sign Form I-983. ISS cannot provide advice to employers about the I-983 Training Plan requirements.This video PowerPoint describes in detail the STEM OPT Extension application process and how to complete the Form I-983 Training Plan for F-1 students at Uni...2) Completed Form I-983 for new employer — see USC's Sample I-983 for guidance 3) Copy of Form I-983 for previous employer (Pages 1-5) including signed final self-evaluation on Page 5 (Refer to the Sample I-983 and use the Reporting Tool) — disregard this step if STEM OPT start date has not been reached Step 4: Processed and signed Change ...The purpose of the Form I-983, a new requirement for 24-month extension, is to ensure that students continue a rigorous training program that builds on the skills obtained as a full time student. The student and their supervisor must agree on the components of the plan as follows: 1. the role of the student in the work place 2. the goals and objectives of the proposed training 3. how the ...the I-983 should be submitted along with your final 6-month validation report. Please review the I-983 Instructions for further guidance on completing the required STEM evaluations. Failure to submit this report on time may jeopardize your F-1 status. C omplete this form and any required evaluations promptly.

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the Form I-983, “Training Plan for STEM OPT Students” to the employer. By signing the Form I-983, the employer certifies, among other things, that it will adhere to all applicable regulatory provisions that govern STEM OPT. At its discretion, the U.S. Department of Homeland Security (DHS) may conduct a site visit of any employer.I-983 form; Final Evaluation from the previous employer This is the bottom half of page 5 of the I-983. I-983 forms MUST be signed by hand, electronic signatures using software programs or applications, electronically reproduced copies of a signature.The formal training plan, Form I-983, must clearly articulate the STEM OPT student’s learning objectives and affirm the employer’s commitment to helping the student achieve those objectives. To fulfill this requirement, a student and their employer must complete and sign Form I-983 and submit it to the student’s international student advisor.I-9, Employment Eligibility Verification. Use Form I-9 to verify the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must properly complete Form I-9 for every individual they hire for employment in the United States. This includes citizens and noncitizens.Students and their employers must complete, and sign Form I-983 and submit it to the student’s DSO. More information can be found on the Study in the States website, including a pdf version of Form I-983 and instructions for the form. ... For example, if your 12-month OPT EAD expires on 05/15/2024, your request STEM OPT start date should be ...Assistance with I-983. The STEM OPT application process requires you to submit a formal Training Plan, Form I-983, to your Designated School Official (DSO). Please use the ICE I-983 Instructions (pdf) as a guide for how to complete the Form I-983. While the majority of the form is geared towards your formal training agreement with your employer ...F-1 STEM OPT Application Forms; STEM OPT I-983 Instructions. Please use the appropriate instructions below to complete the I-983, depending on whether your will be employed at Harvard or another employer. If you have questions on how to complete the I-983 STEM OPT Training Plan, ...SAMPLE I-983 Form for STEM OPT Application. Enter your DSO (can be found here: https://oiss. wustl.edu/c ontact-us/student-walk-in/ ) 9 digit number found on your EAD card next to USCIS #. Check 'No' (unless you are applying based on a prior STEM degree from a different school) Washington University's code.The rest of the form must be completed by you and your employer. Please see your employer to complete pages 2 through 4 of the I-983 form. • Note that you do not have to complete page 5 . when you initially submit your 24-month STEM extension application. o. It is your responsibility to complete the 1 year and 2 year evaluationsGeneral Recommendations for the I-983. The form should be typed so there is no ambiguity or misinterpretation of information by anyone who reviews the form. ... For example, progress can be ...After 24 months on STEM OPT or when you change employers, submit the final self-evaluation (bottom portion of page 5 of form I-983). Update the STEM OPT training plan, form I-983, with any material changes and submit it to ISSA via iStart within 10 days. Examples of material changes include updated EIN, increase in salary, employer address. ….

Students MUST upload a completed and signed Form I-983 with their I-20 request. Note we will not process incomplete requests. Please allow up to 7 business days to process your STEM OPT I-20. Special Instructions for Form I-983: Form I-983 must be signed and filled in completely and correctly to prevent any delay in processing your request.Students who are applying for the STEM OPT extension must complete form I-983 with their employer before submitting a request for the STEM OPT extension to the Office of Global …The employer that signs the Form I-983 is the same entity that employs the student and provides the practical training experience. ... Form I-983 instructions and Form I-983 sample. Pay ISS 2-Year Support Administrative Fee. Please pay the fee with a credit card (MasterCard or Visa). This fee will be used for ongoing ISS support to you as a ...Every 12 months, students must submit their I-983 form with updated page 5 as well as confirm that their SEVIS information correctly identifies their: Legal name, Residential or mailing address, Employer name and address, and Status of current employment. STEM Employer Change Students are permitted to change employers while on STEM OPT.Form I-983 (1/16) Page 1 of 7 DEPARTMENT OF HOMELAND SECURITY U.S. Immigration and Customs Enforcement TRAINING PLAN FOR STEM OPT STUDENTS Science, Technology, Engineering…From:10-10-2019 To:10-09-2021 List "MAJOR 1" 6-digit number that is Qualifying Major and Classification of Instructional Programs (CIP) Code: printed on page 1 of your I-20. List both your degree level and major. XX.XXXX (example 12.3456) Level/Type of Qualifying Degree: For Example: Master's in Chemical Engineering.STEM OPT and will process this form I-983. To: under School Information. Level/Type of Qualifying Degree: Enter the academic level upon which you are basing STEM OPT. (For example, enter Bachelor's, Master's, or Ph.D.) Date Awarded (mm-dd-yyyy): Enter the date when the degree upon which STEM OPT will be based was awarded.SECTION 1: STUDENT INFORMATION (Completed by Student) Student Name (Surname/Primary Name, Given Name): Enter your name exactly as it appears on your Form I-20. Name of School Recommending Name of School Where STEM STEM OPT: Degree Was Earned: Michigan State University Michigan State University (unless using a prior STEM degree) Student Email ...IMPORTANT CHANGES TO OGS COMMUNICATIONS: Inquiry Form is Live! USCIS Tip Sheet: Avoiding I-765 Delays; SEVP Update: Sign and Send I-983 Electronically; USCIS Error: Biometrics Appointments and OPT/STEM Extension Applications; USCIS Update: Expansion of Premium Processing; Update to USCIS Form I-765; Guidance for the …ICE Form I-983 (7/16) Page 3 of 5 . Student's name. Employer's name. Enter the employer s site name, which may be the same as employer name in Section 3. Enter the exact address of the work site where the \rSTEM practical training will take place. Supervisor's name. Supervisor's title. Supervisor's email. Supervisor's Phone Number Form i-983 example, We would like to show you a description here but the site won't allow us., Form I-983 completed by you and your employer. Access the Form I-983 instructions here. Credit card payment receipt for $280.00 to Tulane University. ... If you chose to physically mail your application then you can pay with a check (see sample below), money order, ..., The formal training plan, Form I-983, must clearly articulate the STEM OPT student's learning objectives and affirm the employer's commitment to helping the student achieve those objectives. To fulfill this requirement, a student and their employer must complete and sign Form I-983 and submit it to the student's international student advisor., Redirecting to /sites/default/files/2020-08/UCR%20Sample%20Form%20I-983%20STEM%20OPT.pdf., The <label> Element. Notice the use of the <label> element in the example above.. The <label> tag defines a label for many form elements.. The <label> element is useful for screen-reader users, because the screen-reader will read out loud the label when the user focuses on the input element.. The <label> element also helps users who have difficulty …, E-Verify information can be found here. Students may not be self-employed. The student and employer must complete Form I-983 Training Plan. Have kept ISSS ..., Below are suggestions for answering key questions on the Form I-983, using a STEM transportation engineer student as an example. Student Role: Describe the ..., Form I-983 Training Plan; Employer Letter - This may be an offer letter (if a new employer) or a letter confirming your current employment. The letter must be on company letterhead and include the employer's E-verify company identification number. ... Filing Out the Form: For guidance, use the Sample Form I-765 under Learning Content in your ..., The AF Form 983 is a crucial document used in the United States Air Force for maintaining safety protocols during equipment lockout procedures. This form serves as a danger warning and lockout tag that helps prevent accidental start-ups or hazardous energy releases. It is specifically designed to be attached to the locked-out equipment ..., Once you have read through the overview you should prepare Form I-983 Training Plan with your employer. All fields are required to apply, except for the evaluation pages which will be completed after 12- and 24-months. For additional information on how to complete Form I-983, please see the DHS Study in the States STEM OPT Hub., Example: STEM/H1B Letter: ... The employer that signs the Form I-983 must be the same entity that provides the practical training experience to the student. The employer has sufficient resources and personnel available to provide appropriate training in connection with the STEM opportunity at the location(s) specified in the Form I-983. ..., SAMPLE I-983 Form for STEM OPT Application. Enter your DSO (can be found here: https://oiss. wustl.edu/c ontact-us/student-walk-in/ ) 9 digit number found on your EAD card next to USCIS #. Check ‘No’ (unless you are applying based on a prior STEM degree from a different school) Washington University’s code., For example: if your STEM EAD card start date is 2/15/17, you are required to report on 8/15/2017, 2/15/2018, 8/15/2018, and 2/14/2019. ... Include in the email your STEM extension receipt number from USCIS, the end date of your previous employer, a new I-765 form and a new I-983 form. Your DSO will then update your SEVIS record and send your ..., Address example- (the fields to be entered by you are bolded in the example below) Address 1: 123 W Main St. Apt 10 Address 2: Address 3: City, State: Lee's Summit ... You have completed 24 months of employment: you must submit the 6 month reporting form and your final I-983 self evaluation to [email protected]., Form I-983 Brandeis Supplemental Guide. A student and their employer must complete and sign the Form I-983 (pdf) ... For example, 07/02/2021 - 07/01/2023. Qualifying Major and Classification of Instructional Programs (CIP) Code: Please enter both your major and the CIP code. The 6-digit CIP code can be found on your Form I-20., Sample I-983 for USC Graduates; Guide to Filing Vordruck I-765 to USCIS; STEM OPTIONALLY Extension Employment Reporting Requirements; ... USCIS requires students go take Form I-765 and other support documents to USCIS online via myUSCIS through 60 days of which date OISE recommended the STEM OPT Extension in SEVIS. USCIS must keep the STEM OPT ..., I-9, Employment Eligibility Verification. Use Form I-9 to verify the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must properly complete Form I-9 for every individual they hire for employment in the United States. This includes citizens and noncitizens., This form is to be used by U-M students who are currently on STEM OPT and have changed their STEM employer. If you are currently on Post-Completion OPT and would like to apply for a STEM Extension, please fill out the OPT STEM Extension I-20 Request Form.. Students must submit a self-evaluation reporting Form I-983 the progress of their STEM OPT training experience for their 12-month reporting ..., the Form I-983 Instructionsand the completed Form I-983, effective as of the employment start date requested for the associated STEM OPT period, as indicated on the Form I-983. ... (Example: Student is an employee of the UCLA Computer Science Department) Page 2 How to Complete Form I-983 An EIN is different than an E-Verify Identification, Completed and signed I-983 form (if you have questions, you can review the instructions for completing the I-983 and a sample I-983). ISSS processing time is up to 10 business days for the new I-20. Do NOT submit your STEM OPT application to USCIS without the new I-20 with STEM OPT recommendation., Form I-983. See 8 C.F.R. 214.2(f)(10)(ii)(C)(11). Consistent with this provision, during a site visit, DHS may verify that the employer that signs the Form I-983 is the same entity that provides the practical training experience to the student and ensure compliance. The Employer’s Training Obligation: Staffing and Temporary Agencies, https://studyinthestates.dhs.gov/stem opt hub/additional resources/form i 983 overview As of September 18, 2023, USCIS now accepts wet signatures, e-signatures (using software programs, I983 Evaluation Final Evaluation On Student Progress I 983 Sample is a free printable for you. This printable was uploaded at February 08, 2023 by tamble in Self.. Form I983 Self Evaluation Sample - {employee self-evaluation formAn excellent tool for offering your boss the opportunity to gather important information from you and get useful feedback is a self-evaluation for employees., To update employment information during STEM OPT, students must submit a new training plan I-983 for the new employer as well as a final evaluation form I-983 for the previous employer. Once the OIA receives the I-983 forms, the OIA will be able to update the student's SEVIS record and issue a new I-20 via email., General Guidance for the I-983 Training Plan. When closing the I-983 Training Plan with your company, i can important to remember you're an F-1 Scholar, sponsored the SCU, not a worker, on a work visa sponsored in the company.. Priority smaller on job style, duties, or the ways you benefit the company. Focus more on ways training include this company will performance you real your academic., ICE Form I-983 (7/16) Page 1 of 5 . DEPARTMENT OF HOMELAND SECURITY . U.S. Immigration and Customs Enforcement. TRAINING PLAN FOR STEM OPT STUDENTS . Science, Technology, Engineering & Mathematics (STEM) Optional Practical Training (OPT) OMB APPROVAL NO. 1653-0054 EXPIRATION DATE: 03-31-2019 . SECTION 1: STUDENT INFORMATION (Completed by Student), Form I‐983, “Training Plan for STEM OPT Students,” that is not tied to a reduction in hours worked, any significant decrease in hours per week that a student engages in a STEM training opportunity, and any decrease in hours below the 20‐hours‐perweek minimum required under this rule. Evaluation on Student Progress (page 5):, Form I-983, Training Plan for STEM OPT Students) Material Changes or Modifications to I-983. A new I-983 must be completed with the employer and submitted to the International Center at the earliest available opportunity. If a material change to or ... Examples of such changes are a change in Employer Identification Number, reduction in ..., Under the revised STEM optional practical training (OPT) regulations, which went into effect on May 10, 2016, one of the new requirements to qualify is the completion of a training plan (I-983 form). A university's designated school official (DSO) cannot make the required recommendation for a STEM OPT extension unless the employer and student ..., Form I-983 (1/16) Page 2 of 7 SECTION 3: EMPLOYER INFORMATION (Completed by Employer) Employer Name: Street Address: Suite: Employer Website URL: City: State: ZIP Code: Employer ID Number (EIN): Number of Full-Time Employees in U.S. North American Industry Classification System (NAICS) Code: OPT Hours Per Week (must be at least 20 hours/week):, For consistency, we are asking HR liaisons to complete and sign page 2 of the I-983 form. The supervisor of the student/employee should complete and sign pages 3 and 4. Page 5 is completed by the supervisor and student within the first 12 months of the STEM Extension and upon conclusion of the STEM Extension employment., SECTION 1: STUDENT INFORMATION (COMPLETED BY STUDENT): . Student Name: Enter your full name (Surname/Family Name, Given Name) exactly as it appears on your Form I‐20. Student Email Address: Enter the email address you check most frequently. Name of School Recommending STEM OPT: Enter State University of New York at …, Discuss accomplishments, successful projects, overall contributions, etc., during this review period. Address whether there are any modifications to the objectives and goals for projects, or new areas for skill and competency development. ICE Form I-983 (7/16) Page 5 of 5.