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Get NYIT Optional Practical Training Student & Employer Info Sheet 2016

The collection of this information is required by the Department of Homeland Security (DHS) to maintain your F-1 status. Failure to submit this information will result in penalty imposed by DHS. The information provided must be truthful and accurate. STUDENT INFORMATION LAST NAME FIRST NAME ID# E:-MAIL: DATE: U.S. ADDRESS: TELEPHONE: STUDENT SIGNATURE: PREVIOUS OPT EMPLOYER END DATE: RELATED COURSE WORK: EXPLAIN HOW EMPLOYMENT RELATED TO COURSE WORK REQUIRED EMPLOYER INFORMATION (Pleas.

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