USCIS John Doe

C/O Your friends name (If applicable)

PO Box 21281 167 Somewhere Heights
Phoenix, AZ 85036 Somewhere, CA 91234



Date: June 24, 2010



To whom it may concern,

I, John Doe (SEVIS ID#: N0000123456 / I-94 No: 61234567890) would like to apply for a Part-
Time/Full-Time Pre/Post Optional Practical Training starting from mm/dd/yyyy to mm/dd/yyyy.

Please find enclosed the following documents for consideration of my request for Optional
Practical Training.

1. Original form of I-765 signed and dated.
2. G-1145 E-Notification of Application/Petition Acceptance form
(This form is optional, and can be downloaded here.)
3. Photocopy of my current I-20 endorsed for OPT.
4. Photocopies of previous I-20s.
5. Photocopy of passport (information pages and F-1 visa stamp page).
6. Photocopies of most recent I-94 card (front and back).
7. Check made out to U.S. Department of Homeland Security with appropriate fee. (Check#:
----)
8. 2 identical full-frontal color passport photographs.


9. (If applicable) Copy of my previous EAD card. I was previously on Part-Time/Full-Time
Pre/Post Optional Practical Training from mm/dd/yyyy to mm/dd/yyyy. (Note: It is
recommended that you include and highlight item 9 if it applies to you.)

(Note: Please include the following if you would like the completed EAD card to be sent to a
friends address or a P.O. Box. THIS SECTION MUST BE HIGHLIGHTED.)

Please send my completed EAD card to the following address:
John Doe
C/O Your friends name
167 Somewhere Heights
Somewhere, CA 91234

Yours Sincerely,

<---(Sign there)

John Doe

Tel: (555) 241-3422
Email: John.Doe@somewhere.edu