OFFICE OF INTERNATIONAL PROGRAMS
1600 Holloway Avenue
San Francisco, CA 94132
415-338-6234
[email protected]
OPT Application Cover Sheet
Student ID Number: ____________________
Name: __________________________________
First Name
Last/Family Name
SEVIS ID: N_____________________________
Phone Number: ________________________
E-mail: [email protected]
Rules for OPT Applications:


All applicants are required to review the OPT online application and information workshop BEFORE
submitting OPT application materials to OIP.
Put this cover sheet on top of the following OPT application materials:
A blank envelope (at least 9 inches by 11 inches) envelope – the envelope must be big enough to fit all
your OPT application materials. Your application will not be processed by OIP without a blank envelope
Completed and signed Optional Practical Training Authorization Form (2 pages)
Completed & Signed Form I-765
Original or photocopy of your most current I-20
Photocopy of the identification page(s) in your passport (must include name, current expiration date, and
photo)
I-94 admissions verification printout from http://www.cbp.gov/i94 (If you entered the U.S. prior to April
30, 2013, provide a front and back copy of the I-94 card stapled to inside of your passport)
Two 2 inches by 2 inches US Passport Style Photographs (write your name and I-94 number lightly on
the back of each photo)
For students who have previous OPT authorization at any U.S. schools, including SF State:
Photocopies of your previous EAD(s)
For students who have previous CPT authorization at SF State: Photocopies of pages 1 and 3 of any
I-20 form which shows CPT authorization
Travel signature: Check this box if you already have plans to travel overseas within the next 3 months
Departure Date_____________ Return Date:_______________ Destinations:____________________
Applicant Signature:
______________________________Date:______________________
For Office Use Only
Receipt Date: __________ Due Date: ___________ Received by: ________________
*Please forward all the application materials to Cynthia’s inbox.
Student contacted for missing documents:___________________________________________________