Office of International Student Services - UA Little Rock 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I: Student’s Information. Fill in your name, phone number, email address, KID number, SEVIS ID number, degree, and degree completion date. Indicate if you are on a STEM extension.
3. Next, provide your present address to ensure accurate communication regarding your status.
4. Move to Part II: Employment Information. Enter the name and address of your current employer, job title, and specify whether it is a part-time or full-time position. Include the dates employment began and ended.
5. If applicable, detail how your job relates to your field of study and report any unemployment details as required.
6. Finally, complete Part III by signing and dating the form to certify that all information is accurate. Review everything before submission.

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