Section 2: Student Certification
o Student Certification: Review the certification and affirm the statement with your signature.
See Note on Page 1 on acceptable signatures.
Section 3: Employer Information (Completed by Employer)
o Employer Name: Enter the name of the employer (company, university, etc.).
o Street Address, Suite, City, State, Zip Code: Enter the employer’s mailing address.
o Employer Website URL: Enter the URL of the employer’s website, if available. If no website
exists, enter N/A.
o Employer ID Number (EIN): Enter the Employer Identification Number (EIN).
o Number of Full‐Time Employees in the United States: Provide the number of full‐time
employees in the United States.
o North American Industry Classification System (NAICS) Code: Enter the employer’s
NAICS code. (Federal statistical agencies use the NAICS code to classify business
establishments for the purpose of collecting, analyzing and publishing statistical data related to
the U.S. business economy.) Information on NAICS codes is available at
https://www.census.gov/naics/
.
o OPT Training Hours Per Week: Enter the agreed‐upon number of average training hours per
week. In order to qualify for STEM OPT, the student must work a minimum of 20 hours per
week.
o Start Date of Employment: Enter the date when the student will begin the STEM OPT training
with the employer.
o Compensation: Enter the dollar amount of salary, stipend and/or other compensation and the
frequency of compensation (for example, hourly, weekly, bi‐weekly, monthly). Other
compensation may include housing, tuition waivers or transportation costs, etc. Note: The terms
and conditions of a STEM practical training opportunity (including duties, hours and
compensation) must be commensurate with those applicable to similarly situated workers who
are U.S. citizens, except that a STEM OPT participant must work at least 20 hours per week
while employed.
Section 4: Employer Certification
o Employer Certification: The Employer Official with Signatory Authority, who is an
appropriate individual in the employer’s organization who is familiar with the student’s goals
and performance and has signatory authority for the employer, should review the certification
and affirm the statement with their signature. See Note on Page 1 on acceptable signatures.
o Note for Employer Official with Signatory Authority: The Employer Official with Signatory
Authority attestation includes the certification at Section 4(d), which states “The student on a
STEM OPT extension will not replace a full‐ or part‐time, temporary or permanent U.S. worker.
The terms and conditions of the STEM practical training opportunity—including duties, hours,