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Babson.edu/isss Sample Form I-765 Optional Practical Training To access Form I-765 go to www. uscis. Pre-Completion OPT. Look for the bar code when you print your completed Form I-765. Revised 1/27/12. Gov click on the Forms tab and scroll down to Form I-765. Complete the form save it for your records and print out a copy to sign. To ensure that you are using the most current Form I-765 download it from www. GLAVIN OFFICE OF INTERNATIONAL PROGRAMS OIP Hollister Hall Babson Park MA 02457-0310 Phone 781-239-4565 Fax 781-239-5232 E-mail isss babson*edu Website www. uscis. gov* You must check ONLY ONE of these boxes. Choose the first box when applying for OPT. This is the address to which the EAD will be mailed* It must be clear and accurate. If you will not live at this address for at least three months after you submit the application we recommend using OIP s address 231 Forest St Babson OIP Babson Park MA 02457-0310 The city state where you last entered the U*S* The airport code is found on your Form I-94. Answer YES only if you have applied directly to USCIS for employment authorization in the past. This does not refer to on-campus employment or CPT. John Sample Sign the form in blue ink. Keep your entire signature between the lines. The code c 3 B refers to Post-Completion OPT. uscis. gov* You must check ONLY ONE of these boxes. Choose the first box when applying for OPT. This is the address to which the EAD will be mailed* It must be clear and accurate. If you will not live at this address for at least three months after you submit the application we recommend using OIP s address 231 Forest St Babson OIP Babson Park MA 02457-0310 The city state where you last entered the U*S* The airport code is found on your Form I-94. If you will not live at this address for at least three months after you submit the application we recommend using OIP s address 231 Forest St Babson OIP Babson Park MA 02457-0310 The city state where you last entered the U*S* The airport code is found on your Form I-94. Answer YES only if you have applied directly to USCIS for employment authorization in the past. This does not refer to on-campus employment or CPT. Answer YES only if you have applied directly to USCIS for employment authorization in the past. This does not refer to on-campus employment or CPT. John Sample Sign the form in blue ink. Keep your entire signature between the lines. The code c 3 B refers to Post-Completion OPT. uscis. gov* You must check ONLY ONE of these boxes. Choose the first box when applying for OPT. This is the address to which the EAD will be mailed* It must be clear and accurate. If you will not live at this address for at least three months after you submit the application we recommend using OIP s address 231 Forest St Babson OIP Babson Park MA 02457-0310 The city state where you last entered the U*S* The airport code is found on your Form I-94. Answer YES only if you have applied directly to USCIS for employment authorization in the past. This does not refer to on-campus employment or CPT.

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