ࡱ> O N bjbjgQgQ ;e;e( ( mmmmm8$ZBBB2Z4Z4Z4Z4Z4Z4Z$]M`PXZmBAABBXZmm'mZ\D\D\DBFmm2Z\DB2Z\D\DUWLCRVZZ0ZV`RC`(WW&`mWLBB\DBBBBBXZXZCBBBZBBBB`BBBBBBBBB( 3: STEM OPT Update Form Government regulations require notifying 51 OIPI within 10 days of any change in contact information as well as the addition or change in employment. Date: Last Name and First Name: UA ID: Phone number: Email: NOTE: Email address listed above will be entered to your SEVIS record if not already associated with your SEVIS record. Current residence address Street Address: City, State, Postal Code: Mailing address (if different) Street Address: City, State, Postal Code: Employer Information Employer/Business Name: Street Address: City, State, Postal Code: Is your employer e-verified? Employment information Position title: Hours per week: Employment start date: If changing employers, last day with your previous employer: Your major area of study: How does this job relate to your field of study? What you provide here will be added to your SEVIS record. Max 1,000 characters:     215 Eielson Building PO Box 757760 Fairbanks, Alaska 99775-7760, USA 51-InternationalPrograms@alaska.edu www.uaf.edu/oip/ Globally Inspiring UA is an AA/EO employer and educational institution and prohibits illegal discrimination against any individual:  HYPERLINK "http://www.alaska.edu/titleIXcompliance/nondiscrimination" www.alaska.edu/titleIXcompliance/nondiscrimination.   g h  ' ( 8 9 S T p q w y    # $ T U ԷIJԲԲԮԲԦ̜h45B*phh\)hUhpj% h45h>h#5B*phh#h;3hG h^:h4 h\)hyPh$ h\)5 h$5hb5CJaJh45CJaJ;g h  ) : U x y $a$gd$gd4 @ ^@ `gd$  # $  = $0]0a$gd/v$00]0^0a$gd/vgdH gdH gdG gd4U   = ? @ A ÿ{^9jhshjB* CJOJQJUaJmHnHph#auhheh/vh{ B* OJQJph#ah/vB* OJQJph#ah52h/vB* OJQJph#a)jh52h/vB* UmHnHph#auh}I hH hH hH CJOJQJhQ jhQ Uh#h4h^:h4B*phh456B*ph= > ? @ V W F J K L M N gdG $a$gdN:$a$gdgd A C U V W   C D E F I J K L ĵwbTC2.hhe!h^khB* CJOJQJph#a!hN:hN:B*CJOJQJph/TjhN:UmHnHu)hN:hN:B*CJOJQJ^JaJph/T'jhN:0JCJOJQJU^JaJhN:0JCJOJQJ^JaJhN:jhN:UhN:CJOJQJ^JaJhhN:B* OJQJph#ahsB* CJOJQJaJph#a%hshsB* CJOJQJaJph#a0jhshCJOJQJUaJmHnHuL M N h#hQ 5 01:pj/ =!"#$% nK7PNG  IHDR 9y pHYs.#.#x?vtEXtSoftwareAdobe ImageReadyqe<IDATx$g(YL2q/{ afv15=l0>pq1{,SpM`=g8Lgۨ]mh 2.-ɽ:*v;\ $NFV/ #"*/737fvvv2 ] M/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$N/$a!;Bq+I9 %v%~ Nˢ0V7KX4CB@I'C/e)|Y'E ~gB2tuHҙyQh6\,5h3N,שּׂ D#ϗс|qn+ 2ts|{ 'ޟY[M!W}࿭?s|vPb/rTq}vɼ<,Tuy761:7<0&n`?uc=nL;QS{[e_Oc8?vc||ip9?9V-Ġ1cα5~o=q}xʯ(oș-)PGQyA- ,af0ۿ!U=[( m.tHAPYa8NeHcOGņaE|w47o9P4]2;c|_jǔF{i'xXB٢+hlˣ33X'"t͗~)ԩlw yr3^!t[tHQyTP8~92tOb }W_yǚ#?w~.OtϞϮ-xJ~/o}cZn7Ɨo/}U Gp}r =4UUPM樴},(\o-qT.r,P҆%.-9 RyTGE[fdo֔GʬjR֏X?˂ptb/ƥx3\m]& E *g%1ҡVߐlΧi4W䶟pEK:| r/_js܈-+̚w?>Ǡ<pRŠ?Ȟ{{K֏*3@\klaĶN$l<*'0_ꍱ͢˱rs#S~$ʣh>/9<(|}̊.]p\:je%umyC 1_ֽǜ4s~qҸH{9iONJ"G7JA/r -c(ϐr,SS0I ݵӭ?=hQ程׳U;5{<*ʣL_W\J7ޭ EL>1ƶ𴥱*ᇲ=9Nc-n²Å6Ϊ-ȗL벵(6w猾N<*P E JJ뢕?({ic]a_U,禅["gPdŻE=QyUygi Q ^/|CjWˮ1{]!#w1l@xzht\ik]|ʡ=s[x[wuS._(~ ϯIQyTX4]~߸y;~77+?lڷPMq0ɪ)=Րb s~&Pۯ|يvw1G(ue.V:ʣ ~Y_~]U1<,rPrfxW٬<*pd. 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