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Completing the Form I-910, STEM OPT
Mentoring and Training Plan, for STEM OPT:
 Section1: Student Information:
o PersonalInformation: Enterthe Student’s full name, email address,andStudentand
Exchange VisitorInformationSystem(SEVIS)identification (ID) number. Enterthe Student’s
name exactlyhowitis written onthe Student’s F-1visaor SEVISFormI-20.
o SchoolInformation: Enterthe school’s name, the School Code includingthe three-digit
suffix (whichcanbe obtainedfromthe DSOor bygoingto XXX),the DesignatedSchool
Official’sfull name andcontactinformation,andthe spanof time of the proposed STEM
OPT extension (startdate andenddate). The STEM OPT extensionmaynot endmore than
24 months afterthe scheduledterminationof the Student’s EmploymentAuthorization
Document(EAD) forthe current periodof post-completionOPT.
o Qualifying Major: Enterthe Student’s STEMmajorthat qualifiesthe Studentforthe STEM
OPT extension, aswell asthe degree’s Classificationof Instructional Programs(CIP)Code.
o Degree Details: Enter the level and type of degree thatqualifies the StudentforSTEMOPT
participation (Bachelor’s,Master’s,etc.) andthe date the Studentwasawardedthatdegree.
o Previously Obtained Degree? Check“No” if the Student’s STEMOPT participation isbased
on hisor her mostrecentlyobtaineddegree. Check“Yes”if the Student’sSTEMOPT
participationisbasedon a previouslyobtainedSTEMdegree.
o Work Authorization: Enterthe Student’s “A”number(whichmaybe foundonthe Student’s
EmploymentAuthorizationDocument).
 Section 2:Student Certification:
o StudentCertification: The Studentaffirmsunderpenaltyof perjurythatthe statementsand
informationprovidedare true andcorrect.
 Section 3:Employer Information:
o Employer’s Information: Enterthe Employer’s(company’s)name, mailingaddress,WebURL
(if available), EmployerIdentificationNumber(EIN), andavalidE-Verifycompany
identificationnumber(or,if the Employerisusinganemployeragenttocreate itsE-Verify
cases,a validE-Verifyclientcompanyidentificationnumber). The E-Verifynumberis
requiredforemployersof STEM OPTstudents.
o Numberof Full-Time Employeesand OtherCompany Information: Providethe numberof
full-time employeesinthe UnitedStates,state whetherthe EmployerisclassifiedasaSmall
Entity(Yesor No), and the company’s North American Industry ClassificationSystem (NAICS)
code. [Federal statistical agencies use the NAICScode toclassifybusinessestablishments
for the purpose of collecting,analyzing,andpublishingstatistical datarelatedtothe U.S.
businesseconomy.] Information astowhetherthe Employerisclassifiedas asmall entityby
the Small BusinessAdministrationcanbe foundonthe SBA’swebsite at
2
https://www.sba.gov/content/small-business-size-standards. Sucha determination isbased
eitheron the Employer’s income level ornumberof employees,dependingonthe industry.
o Hoursand Compensation: Enterthe agreedupon numberof traininghoursperweek,the
dollaramountof salary,stipend, and/orothercompensation, andthe frequencyof pay(per
hour, per week,bi-weekly,monthly). Note thatthe termsandconditionsof aSTEM
practical trainingopportunity,(includingduties,hours,and compensation) mustbe
commensurate withthose applicabletosimilarlysituatedU.S.workers,exceptthata STEM
OPT participantmustworkat least20 hoursper weekwhileemployed.
o Enter the start date of the STEM OPT.
 Section 4:Employer Certification:
o EmployerCertification:The Official,whoisanappropriate individual inthe Employer’s
organization withsignatory authorityforthe Employer,affirmsunderpenaltyof perjurythat
the statementsandinformationprovidedare true andcorrect.
 Section 5:STEM Mentoring andTraining Plan:
o Enter the Student’s full name (lastname,firstname).
o Enter the Employer’sname,asitappearsinSection 3.
o STEM OPT EmployerSite Information: Enterthe Employer’s site name whichmaybe the
same as Employername inSection2. However,if the Studentisworkingforabranch or
subsidiaryof alarge entity,oranywhere otherthanthe headquarters, providethe name (if
possible)andaddressof this worksite. Enterthe exactaddress where the STEMpractical
trainingopportunitywill take place,andthe type of training (trainingfield) conductedatthe
site. (Thismaybe differentthanthe corporate informationenteredinSection 3,above.)
o StudentRole and Program’sRelationship to Qualifying Degree: The planmustcover a
specificspanof time,detail specificgoalsandobjectives, andshow how the programrelates
to the Student’s degree.
o Specific Goals and Objectives: Describe indetail the specificskills,knowledge, and
techniquesthe Studentwilllearnorapply; how the Studentwill achieve the goalssetoutfor
hisor her training;andthe trainingcurriculum includingthe timeline.
o Supervisory Oversight: Enterthe name andtitle of the personnel,inadditiontothe
supervisor,whowilloversee the Student’s training. Whatare the qualificationsof the
supervisor,aswell asthose of these othertrainingpersonnel? Thismayinclude skills,work
experience, specializededucation, certifications, etc. How oftenwill thispersonorthese
people be interactingwiththe Studentforthe purpose of advancingthe Student’s training.
o Measuresand Assessments: Describe indetail how the student’s acquisition of the new
knowledge,skillsandtechniques willbe measuredandconfirmed.
o AdditionalRemarks. Provide anyadditional informationpertinenttothe Mentoringand
TrainingPlan.
 Section 6:Supervisor Certification:
o SupervisorCertification: The Supervisoraffirmsunderpenaltyof perjurythatthe
statementsandinformationprovidedare true andcorrect.
 Evaluationand Feedback on Student Progress:
3
o The Studentprovidesaself-assessmentevery sixmonthsuntil the completionof the
MentoringandTrainingPlan,as well asa final evaluationthatrecapsall the trainingand
knowledge acquiredduringthe complete trainingperiod until:F-1statusends,the Student
changeseducational levelsatthe same school, the Studenttransferstoanotherschool or
program,or the OPTextensionends,whicheverisfirst.
o Enter the range of the studentevaluationdates (the timelineforwhichthisevaluationis
relevant).
o The Studentand hisor herSupervisormustsign,printname, andenterdate of signature.

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Instructions STEM OPT Extension Mentor and Training Plan

  • 1. 1 Completing the Form I-910, STEM OPT Mentoring and Training Plan, for STEM OPT:  Section1: Student Information: o PersonalInformation: Enterthe Student’s full name, email address,andStudentand Exchange VisitorInformationSystem(SEVIS)identification (ID) number. Enterthe Student’s name exactlyhowitis written onthe Student’s F-1visaor SEVISFormI-20. o SchoolInformation: Enterthe school’s name, the School Code includingthe three-digit suffix (whichcanbe obtainedfromthe DSOor bygoingto XXX),the DesignatedSchool Official’sfull name andcontactinformation,andthe spanof time of the proposed STEM OPT extension (startdate andenddate). The STEM OPT extensionmaynot endmore than 24 months afterthe scheduledterminationof the Student’s EmploymentAuthorization Document(EAD) forthe current periodof post-completionOPT. o Qualifying Major: Enterthe Student’s STEMmajorthat qualifiesthe Studentforthe STEM OPT extension, aswell asthe degree’s Classificationof Instructional Programs(CIP)Code. o Degree Details: Enter the level and type of degree thatqualifies the StudentforSTEMOPT participation (Bachelor’s,Master’s,etc.) andthe date the Studentwasawardedthatdegree. o Previously Obtained Degree? Check“No” if the Student’s STEMOPT participation isbased on hisor her mostrecentlyobtaineddegree. Check“Yes”if the Student’sSTEMOPT participationisbasedon a previouslyobtainedSTEMdegree. o Work Authorization: Enterthe Student’s “A”number(whichmaybe foundonthe Student’s EmploymentAuthorizationDocument).  Section 2:Student Certification: o StudentCertification: The Studentaffirmsunderpenaltyof perjurythatthe statementsand informationprovidedare true andcorrect.  Section 3:Employer Information: o Employer’s Information: Enterthe Employer’s(company’s)name, mailingaddress,WebURL (if available), EmployerIdentificationNumber(EIN), andavalidE-Verifycompany identificationnumber(or,if the Employerisusinganemployeragenttocreate itsE-Verify cases,a validE-Verifyclientcompanyidentificationnumber). The E-Verifynumberis requiredforemployersof STEM OPTstudents. o Numberof Full-Time Employeesand OtherCompany Information: Providethe numberof full-time employeesinthe UnitedStates,state whetherthe EmployerisclassifiedasaSmall Entity(Yesor No), and the company’s North American Industry ClassificationSystem (NAICS) code. [Federal statistical agencies use the NAICScode toclassifybusinessestablishments for the purpose of collecting,analyzing,andpublishingstatistical datarelatedtothe U.S. businesseconomy.] Information astowhetherthe Employerisclassifiedas asmall entityby the Small BusinessAdministrationcanbe foundonthe SBA’swebsite at
  • 2. 2 https://www.sba.gov/content/small-business-size-standards. Sucha determination isbased eitheron the Employer’s income level ornumberof employees,dependingonthe industry. o Hoursand Compensation: Enterthe agreedupon numberof traininghoursperweek,the dollaramountof salary,stipend, and/orothercompensation, andthe frequencyof pay(per hour, per week,bi-weekly,monthly). Note thatthe termsandconditionsof aSTEM practical trainingopportunity,(includingduties,hours,and compensation) mustbe commensurate withthose applicabletosimilarlysituatedU.S.workers,exceptthata STEM OPT participantmustworkat least20 hoursper weekwhileemployed. o Enter the start date of the STEM OPT.  Section 4:Employer Certification: o EmployerCertification:The Official,whoisanappropriate individual inthe Employer’s organization withsignatory authorityforthe Employer,affirmsunderpenaltyof perjurythat the statementsandinformationprovidedare true andcorrect.  Section 5:STEM Mentoring andTraining Plan: o Enter the Student’s full name (lastname,firstname). o Enter the Employer’sname,asitappearsinSection 3. o STEM OPT EmployerSite Information: Enterthe Employer’s site name whichmaybe the same as Employername inSection2. However,if the Studentisworkingforabranch or subsidiaryof alarge entity,oranywhere otherthanthe headquarters, providethe name (if possible)andaddressof this worksite. Enterthe exactaddress where the STEMpractical trainingopportunitywill take place,andthe type of training (trainingfield) conductedatthe site. (Thismaybe differentthanthe corporate informationenteredinSection 3,above.) o StudentRole and Program’sRelationship to Qualifying Degree: The planmustcover a specificspanof time,detail specificgoalsandobjectives, andshow how the programrelates to the Student’s degree. o Specific Goals and Objectives: Describe indetail the specificskills,knowledge, and techniquesthe Studentwilllearnorapply; how the Studentwill achieve the goalssetoutfor hisor her training;andthe trainingcurriculum includingthe timeline. o Supervisory Oversight: Enterthe name andtitle of the personnel,inadditiontothe supervisor,whowilloversee the Student’s training. Whatare the qualificationsof the supervisor,aswell asthose of these othertrainingpersonnel? Thismayinclude skills,work experience, specializededucation, certifications, etc. How oftenwill thispersonorthese people be interactingwiththe Studentforthe purpose of advancingthe Student’s training. o Measuresand Assessments: Describe indetail how the student’s acquisition of the new knowledge,skillsandtechniques willbe measuredandconfirmed. o AdditionalRemarks. Provide anyadditional informationpertinenttothe Mentoringand TrainingPlan.  Section 6:Supervisor Certification: o SupervisorCertification: The Supervisoraffirmsunderpenaltyof perjurythatthe statementsandinformationprovidedare true andcorrect.  Evaluationand Feedback on Student Progress:
  • 3. 3 o The Studentprovidesaself-assessmentevery sixmonthsuntil the completionof the MentoringandTrainingPlan,as well asa final evaluationthatrecapsall the trainingand knowledge acquiredduringthe complete trainingperiod until:F-1statusends,the Student changeseducational levelsatthe same school, the Studenttransferstoanotherschool or program,or the OPTextensionends,whicheverisfirst. o Enter the range of the studentevaluationdates (the timelineforwhichthisevaluationis relevant). o The Studentand hisor herSupervisormustsign,printname, andenterdate of signature.