I-983 Sample for Illinois State University Students
This page is designed to help you complete Form I-983. You may also find it helpful to review the I-983 Sample file. For full details on how to complete Form I-983, please refer to the Form I-983 Instructions and the Study in the States website.
Section 1: Student Information
Designated School Official (DSO) Name and Contact Information
STEM OPT Requested Period (mm-dd-yyyy)
Qualifying Major and Classification of Instructional Programs (CIP) Code
Based on Prior Degree?
Employment Authorization Number
Section 2: Student Certification
Signature of Student
Section 3: Employer Information
Employer Name
Street Address
Employer Website URL
Employer ID Number (EIN)
North American Industry Classification System (NAICS) Code
Start Date of Employment (mm-dd-yyyy)
Other Compensation (Type and Estimated Amount or Value):
Section 4: Employer Certification
The employer should retain a copy of the completed Form-I983, which contains the DSO contact information.
Signature of Employer Official with Signatory Authority
Section 5: Training Plan for STEM OPT Students
Under no circumstances is an F-1 student with OPT or a STEM extension qualified to train another F-1 student with a STEM extension.
Employer Name
Employer Site Information
Site Name
Site Address (Street, City, State, ZIP)
Official's Title
The remaining fields in Section 5 must be completed on the Form I-983 itself. It is not acceptable to enter "See attached". Note: As the STEM Training Plan has not yet begun at the time of application, this section should be written in future tense.
For full details on how to complete Section 5, refer to the Study in the States website.
Student Role
Goals and Objectives
Employer Oversight
Measures and Assessments
Additional Remarks (optional)
Section 6: Employer Official Certification
Under no circumstances is an F-1 student with OPT or a STEM extension qualified to train another F-1 student with a STEM extension.
Signature of Employer Official with Signatory Authority
Evaluation On Student Progress
Range of Evaluation Dates
Final Evaluation On Student Progress
Range of Evaluation Dates
Signature Options
ACCEPTED: Electronic singature produced by a software program that digitally validates the signature
ACCEPTED: Physical "ink" signature or digitally reproduced copy of a physical signature
NOT ACCEPTED: Signature typed out using a scripted or cursive font
NOT ACCEPTED: Signature created using a computer mouse to draw the signature