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Address and Employment Update for STEM/17-Month Extension
Today's Date
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NUID
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First Name
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Middle Name
Last Name
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Email Address
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New Address
Street
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Apartment Number
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Telephone
Current Employer Information
Name of Employer
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Employer Street
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Employer City
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Employer State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Employer Zip Code
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Start Date of Employment
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Attach STEM EAD Card - if not done previously
Please attach a copy of both the front and the back of your EAD Card:
Confirmation of Information
Before you can submit your information to the International Studnet & Scholar Institute you must check the button to confirm that you have entered all information accurately. We will not be able to update your records until you have done so.
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I Confirm that the Information entered here is accurate to the best of my knowledge