Optional Practical Training (OPT) Form

First Name:  Last Name:Program: Today's Date:  Anticipated Program Completion Date:I am applying for (pick one)
 *Please do not complete this form for post-completion OPT if there are more than 90 calendar days until your program completion date or if you completed your program more than 60 days agoRequested OPT start date (for post-completion OPT, start date cannot exceed 60 days after your program completion date)