Form I 983 Guide
Form I 983 Guide
ISSS[2020]S
Site Name and Site Address: Official Name, Title, Email,
The employer’s site name may Phone Number:
be the same as Section 3 on This should be the individual
page 2. However, if the in the employer’s
student is working for a branch organization who is familiar
or subsidiary of a large entity, with, and will monitor, the
or anywhere other than the students’ goals and
headquarters, provide the performances. This may or
name of this work site. The may not be the same
address should be where the Employer Official as in
STEM practical training will Section 4 on page 2.
take place.
Employer Oversight:
Measures and Assessments:
Explain how the employer
Explain how the employer
provides oversight and
measures and confirms whether
supervision of individuals filling
the named F-1 student is
positions such as that being
acquiring new knowledge and
filled by the named F-1 student.
skills. If the employer has a
If the employer has a training
training program or related
program or related policy in
policy in place that controls such
place that controls the oversight
measures and assessments, a
and supervision, a description of
description of this program or
this program or policy may
policy may suffice to answer the
suffice to answer the question.
question.
ISSS[2020]S
Provide any additional
pertinent information.
On the material change
certification (#4), please note
that material changes in the
plan can include (but are not
limited to) the following: any
change of Employer
Identification Number (EIN)
resulting from corporate
restructuring, any reduction in
compensation from the
amount previously submitted
on the Form I-983, “Training
An employee with signatory Plan for STEM OPT Students,
authority for the employer that is not tied to the
should review the reduction in hours worked, any
certification and affirm the significant decrease in hours
statement by signature. per week that a student
engages in a STEM training
Cannot be an electronic opportunity, and any decrease
signature. It must be an in hours below the 20-hours-
original signature. per week minimum required
under this rule.
Note: The individual who
signs this Certification need
not be, but can be, the same
individual who signed the
Employer certification in
Section 4 on page 2.
ISSS[2020]S
NOTE:
If you are changing employers, you
must submit to ISSS the I-983 with
For initial STEM OPT applicants: the self-evaluation completed for
your previous employer,
Do not complete this page (leave this The student submits to the DSO the first assessment within regardless of the amount of time
page blank) when submitting the twelve (12) months that recaps all the STEM extension training you worked for that employer.
initial training plan to apply for the and knowledge acquired during the complete training
STEM Extension I-20. period. For example, you worked 8
months at company XYZ and now
When submitting the 12-month STEM Report, this section of the you will go work at company ABC.
evaluation will be completed and the entire I-983 will be sent You will need to submit the entire
to [email protected]. I-983 with the self-evaluation
completed for company XYZ AND
Student evaluations are a shared a new I-983 for company ABC.
responsibility of both the student
and the employer to ensure that
the student’s practical training
goals are being satisfactorily met. Students:
The student is responsible for Provide a self-evaluation
conducting a self-evaluation based of your performance then
on his or her own training sign in ink, print name,
programs. The employer must The student submits to the DSO the final assessment at the end of and date.
review and sign the self-evaluation the STEM OPT or at the end of the training opportunity
to attest to its accuracy. (employment) with that employer that recaps all the training and Employee:
knowledge acquired during the complete training period. The employee with
signatory authority for the
When submitting the 24-month STEM Report or reporting a employer must sign in ink,
change in employer, this section of the evaluation will be print name, and enter the
completed and the entire I-983 will be sent to date of signature to show
[email protected]. concurrence with the
assessment information
that the student has
entered.
ISSS[2020]S