<p> OPTIONAL PRACTICAL TRAINING CERTIFICATION In House Form</p><p>Swarthmore College</p><p>I. To be completed by the student: </p><p>Name: Student ID #: </p><p>Date of Birth: Email: </p><p>Major: </p><p>SEVIS ID:______</p><p>Describe the proposed employment for practical training: </p><p>Employer address if known:</p><p>Beginning date for OPT: Ending Date for OPT: </p><p>Number of hours per week: </p><p>By signing below, I understand that:  With Optional Practical Training (OPT), I must work in a position related to my major.  I can apply for OPT prior to the completion of my course of study and 60 days after graduation.  I must not commence work until the United States Citizenship and Immigration Services (USCIS) approves my request and I have an Employment Authorization Document (EAD) in hand.  While on OPT, I can depart and reenter the United States provided I have a valid passport, visa, endorsed I-20. EAD card, and proof of employment. Must report any change of address, change of employer within 10 days. Even if your employment changes and you remain unemployed.</p><p>Please make copies of your entire application. We are not responsible for keeping copies in your file. You may need this information for future OPT applications and graduate programs. </p><p>Please confirm address where EAD card will be sent and that you will be at this address when card is delivered. This is the address where I would like the EAD card to be delivered:</p><p>On Form I-765, you must provide a valid U.S. return mailing address. It is advisable to use an address at which you will be able to receive mail for up to five months from the date of application</p><p>Student Signature: Date: </p><p>PDSO Signature:______Date ______</p><p>Full Name: </p><p>II. To be completed by the above student’s Advisor/Professor/Dean </p><p>The student who is listed above wishes to apply for Optional Practical Training (OPT). OPT provides authorization for F-1 visa students to be employed in a job related to their major field of study. A job offer is not required before the application. We ask that you complete the following information to allow us to recommend this student for OPT: </p><p>What is the expected date the student will complete all degree requirements? (month/day/year) (If this date is not necessarily the graduation date, please indicate why) </p><p>Student’s Major______</p><p>Name and title of Advisor/Professor/Dean: </p><p>Phone number:______</p><p>Signature Date: </p>