{"id":33331,"date":"2024-09-23T15:42:34","date_gmt":"2024-09-23T19:42:34","guid":{"rendered":"https:\/\/marymount.edu\/academics\/?page_id=33331"},"modified":"2024-09-23T15:42:34","modified_gmt":"2024-09-23T19:42:34","slug":"i-765-application-instructions","status":"publish","type":"page","link":"https:\/\/marymount.edu\/academics\/center-global-engagement\/international-student-services\/current-students\/employment\/off-campus-employment\/i-765-application-instructions\/","title":{"rendered":"I-765 Application Instructions"},"content":{"rendered":"<h3><strong>Sample I-765<\/strong><\/h3>\n<p>Applications for Off-Campus employment must be submitted via <strong>paper<\/strong> application to USCIS. ISSS has an <a href=\"https:\/\/marymount.edu\/academics\/wp-content\/uploads\/sites\/3\/2024\/09\/Economic-Hardship-Sample-I-765.pdf\">Economic Hardship Sample I-765<\/a> application to assist you in completing your paper application to USCIS for Off-Campus employment.<\/p>\n<h3><strong>Instructions<\/strong><\/h3>\n<ul>\n<li>Read the step-by-step instructions below for completing each section of the <a href=\"https:\/\/www.uscis.gov\/i-765\">I-765 (v. exp. 10\/31\/2025)<\/a><\/li>\n<li>Leave the box\u00a0at\u00a0the top of the page\u00a0blank.<\/li>\n<li>Start filling out the form where it says \u201cSTART HERE.\u201d<\/li>\n<\/ul>\n<p><strong>Part 1. Reason for Applying<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Select 1.a.\u00a0if this is your first time applying to USCIS for permission to accept employment<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 2.\u00a0Information About You<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Your Full Legal Name\n<ol>\n<li>1.a.\u00a0Write your family\u00a0name<\/li>\n<li>1.b.\u00a0Write your given\u00a0name<\/li>\n<li>1.c.\u00a0Write your middle\u00a0name<\/li>\n<\/ol>\n<\/li>\n<li>Other Names Used\n<ol>\n<li>USCIS\u00a0wants\u00a0to know of any other legal names you may have that are written on official documents.\u00a0 Enter those names below.\u00a0\u00a0If you\u00a0do\u00a0not\u00a0have\u00a0any other legal names\u00a0leave these blank.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 2.\u00a0Information About You (continued)<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Your U.S. Mailing Address\n<ol>\n<li>5.a.\u00a0If you will not be receiving the mail from USCIS, write the name of the person who will be receiving the receipt notices and EAD card in the mail on your behalf.\u00a0 Do not put your name here.<\/li>\n<li>5.b. Write the street name and number of your mailing\u00a0address<\/li>\n<li>5.c. Select if you live in an Apt. (apartment), Ste. (suite), or\u00a0Flr. (floor)\u00a0and write the number in the\u00a0blank<\/li>\n<li>5.d. Write the city of your mailing address<\/li>\n<li>5.e. Select the state abbreviation of your mailing address from the\u00a0drop down\u00a0menu<\/li>\n<li>5.f. Write the zip code of your mailing\u00a0address<\/li>\n<li>6.\u00a0 Select Yes if your mailing address is the same as your physical address where you live.\u00a0 Select No if you are having your EAD card mailed to an address where you do not live.<\/li>\n<\/ol>\n<\/li>\n<li>U.S. Physical Address\n<ol>\n<li>If you selected Yes to question 6, leave this blank.<\/li>\n<li>If you selected No to question 6:\n<ol>\n<li>7.a. Write the street name and number of your mailing address<\/li>\n<li>7.b. Select if you live in an Apt. (apartment), Ste. (suite), or\u00a0Flr. (floor) and write the number in the\u00a0blank<\/li>\n<li>7.c. Write the city of your mailing address<\/li>\n<li>7.d. Select the state abbreviation of your mailing address from the\u00a0drop down\u00a0menu<\/li>\n<li>7.e. Write the zip code of your mailing address<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<li>Other Information\n<ol>\n<li>8. If you are applying for OPT for the\u00a0first time you may\u00a0not have an Alien Registration Number,\u00a0so you can\u00a0leave this\u00a0part\u00a0blank.\u00a0 If you have applied for OPT before, you should fill in the USCIS number appearing on your previous EAD card.<\/li>\n<li>9.\u00a0 Fill this in only if you have applied for an\u00a0USCIS Online Account.<\/li>\n<li>10.\u00a0 Select your Gender.<\/li>\n<li>11.\u00a0 Select your\u00a0Marital\u00a0Status<\/li>\n<li>12.\u00a0 Select if you have previously filed form I-765.\n<ol>\n<li>Select yes if you have\u00a0previously\u00a0filed\u00a0the\u00a0I-765\u00a0to receive an\u00a0EAD<\/li>\n<li>Select no if this is the first time you\u00a0are filing\u00a0the I-765<\/li>\n<\/ol>\n<\/li>\n<li>13.a.\u00a0Select if the Social Security Administration has ever officially issued you a Social Security Number.<\/li>\n<li>13.b.\u00a0\u00a0Write\u00a0your Social Security number\n<ol>\n<li>Leave this\u00a0question\u00a0blank if you selected\u00a0no in question\u00a013.a.<\/li>\n<li>Write your SSN if you selected\u00a0Yes\u00a0in question 13.a.<\/li>\n<\/ol>\n<\/li>\n<li>14. If you do not have a Social Security Number, select Yes and go to question 15.\u00a0 If you already have a Social Security Number, select No and go to question 18.a.\n<ol>\n<li>REMEMBER:\u00a0If you already have an SSN, you do not need another one.<\/li>\n<\/ol>\n<\/li>\n<li>15. If you answered No to question 14, select yes to authorize SSA\u00a0to review your information and issue you\u00a0an\u00a0SSN.\n<ol>\n<li>If you already have an SSN, you should leave question 15 blank.<\/li>\n<\/ol>\n<\/li>\n<li>If you answered\u00a0yes\u00a0to questions 14\u00a0and\u00a015, answer questions 16.a. \u2013 17.b.\n<ol>\n<li>16.a.\u00a0Write\u00a0your father\u2019s\u00a0last\u00a0name.<\/li>\n<li>16.b.\u00a0Write\u00a0your father\u2019s first\u00a0name.<\/li>\n<li>17.a.\u00a0Write\u00a0your mother\u2019s\u00a0last\u00a0name.<\/li>\n<li>17.b.\u00a0Write\u00a0your mother\u2019s\u00a0first\u00a0name.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<li>Your Country or Countries of\u00a0Citizenship or\u00a0Nationality\n<ol>\n<li>18.a.\u00a0Write\u00a0your country of\u00a0Citizenship.<\/li>\n<li>18.b.\u00a0If you have a second citizenship, write\u00a0your country of additional\u00a0citizenship.\u00a0\u00a0If you are only a citizen of one country, leave this blank.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 2.\u00a0Information About You (continued)<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Place of Birth\n<ol>\n<li>19.a.\u00a0Write\u00a0your City\/Town\/Village of\u00a0Birth<\/li>\n<li>19.b.\u00a0Write\u00a0your State\/Province of\u00a0Birth<\/li>\n<li>19.c.\u00a0Write\u00a0your Country of\u00a0Birth<\/li>\n<li>20. Write\u00a0your Date of Birth (mm\/dd\/yyyy)<\/li>\n<\/ol>\n<\/li>\n<li>Information About Your Last Arrival\u00a0in the United States\n<ol>\n<li>21.a.\u00a0Write\u00a0your I-94 Arrival-Departure\u00a0Record\u00a0found on your most recent I-94.<\/li>\n<li>21.b.\u00a0Write\u00a0your most recently issued VALID passport\u00a0number.<\/li>\n<li>21.c.\u00a0If you used a travel document (not a passport) to travel to the United States,\u00a0write the\u00a0travel document number here. If you entered a passport number in 21.b.,\u00a0leave blank.<\/li>\n<li>21.d.\u00a0Write\u00a0the\u00a0country that issued your passport\u00a0or travel\u00a0document<\/li>\n<li>21.e.\u00a0Write\u00a0the\u00a0expiration\u00a0date\u00a0listed in\u00a0your passport\u00a0or travel document\u00a0(mm\/dd\/yyyy).<\/li>\n<li>22. Write\u00a0the Date of your last Arrival into the United States.\u00a0You can find it on your I-94.<\/li>\n<li>23. Write\u00a0the\u00a0Place of your last arrival\u00a0into the United States.\u00a0You can find it on your I-94.\u00a0 You can write\u00a0the airport code and city name.<\/li>\n<li>24. Write\u00a0your Immigration Status at your Last Arrival. If you\u00a0entered\u00a0last time as\u00a0F\u20131 list \u201cF-1 Student.\u201d\u00a0 If\u00a0you\u00a0last\u00a0entered\u00a0in another visa status, such as\u00a0\u201cH-4\u00a0Dependent\u201d\u00a0or\u00a0\u201cB-2\u00a0Visitor,\u201d\u00a0list that\u00a0visa type.<\/li>\n<li>25. Write\u201cF-1 Student.\u201d<\/li>\n<li>26. Write\u00a0your SEVIS Number. This number can be found on the\u00a0top left\u00a0corner\u00a0of your I-20.<\/li>\n<\/ol>\n<\/li>\n<li>Information About Your Eligibility Category\n<ol>\n<li>27. Write\u00a0your\u00a0Eligibility Category:\n<ol>\n<li>Write\u00a0(\u00a0C\u00a0)\u00a0( 3\u00a0)\u00a0( iii )\u00a0if you are applying\u00a0for\u00a0Severe Economic Hardship or Special Student Relief.<\/li>\n<li>Write\u00a0(\u00a0C\u00a0)\u00a0( 3\u00a0)\u00a0( A\u00a0)\u00a0if you are applying\u00a0for\u00a0Pre\u2013Completion\u00a0OPT\u00a0to\u00a0use OPT before\u00a0you complete your degree requirements.<\/li>\n<li>Write\u00a0(\u00a0C\u00a0)\u00a0( 3\u00a0)\u00a0( B\u00a0)\u00a0if you are applying for\u00a0Post\u2013Completion\u00a0OPT\u00a0to\u00a0use OPT after\u00a0you complete your degree requirements.<\/li>\n<li>Write\u00a0(\u00a0C\u00a0)\u00a0( 3\u00a0)\u00a0( C\u00a0)\u00a0if you are applying for\u00a0STEM\u00a0OPT Extension.<\/li>\n<\/ol>\n<\/li>\n<li>28.a-c.\u00a0Complete only if you are applying for\u00a0( C\u00a0)\u00a0( 3\u00a0)\u00a0( C\u00a0) STEM OPT Extension.<\/li>\n<li>29-31.b.\u00a0Leave blank.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 3.\u00a0Applicant\u2019s Statement, Contact Information, Declaration, Certification, and Signature<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Applicant\u2019s Statement\n<ol>\n<li>1.a.\u00a0Check\u00a0here to acknowledge that you can read\u00a0and understand\u00a0English unless you are using an interpreter to help you complete the I-765 form.<\/li>\n<li>1.b. Leave Blank\u00a0unless you are using an interpreter to help you complete the I-765 form.<\/li>\n<li>If you are using an interpreter, enter the language used in translation of the I-765.<\/li>\n<li>2. Leave blank unless someone\u00a0else is completing the I-765 form for you, then write their name.\n<ol>\n<li>For example: Lawyer<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<li>Applicant\u2019s Contact Information\n<ol>\n<li>3. Write\u00a0your daytime phone number. It can be your cell phone.<\/li>\n<li>4. Write your mobile telephone number.\u00a0If you entered\u00a0your mobile number in\u00a0question 3, leave this blank.<\/li>\n<li>5. Write your email address. It can be any email\u00a0address that you check regularly.<\/li>\n<li>6. Leave blank.<\/li>\n<\/ol>\n<\/li>\n<li>Applicants Declaration and Certification<\/li>\n<li>Applicant\u2019s Signature\n<ol>\n<li>7.a.\u00a0Sign here in black ink after you complete and print the entire I-765 form.\u00a0\u00a0DO NOT\u00a0sign electronically.<\/li>\n<li>7.b.\u00a0Enter the date you sign the form.\u00a0(mm\/dd\/yyyy)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 4.\u00a0Interpreter\u2019s Contact Information, Certification, and Signature<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>If an interpreter did not assist you in completing the I-765, leave all of Part 4 blank.<\/li>\n<li>Complete this section\u00a0ONLY\u00a0if you are using an interpreter to complete the I-765 and you marked number 1.b. in the Applicant\u2019s Statement in Part 3 of this page.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 4.\u00a0Interpreter\u2019s Contact Information, Certification, and Signature<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>If an interpreter did not assist you in completing the I-765, leave all of Part 4 blank.<\/li>\n<li>Complete this section\u00a0ONLY\u00a0if you are using an interpreter to complete the I-765 and you marked number 1.b. in the Applicant\u2019s Statement in Part 3 on Page 4.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 5.\u00a0Contact Information, Declaration, and Signature of\u00a0the Person Preparing this\u00a0\u00a0Application, if\u00a0Other\u00a0Than the Applicant.\u00a0<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>If no one assisted you in completing the I-765, leave all of Part 5 blank.<\/li>\n<li>Complete this section\u00a0ONLY\u00a0if you have someone else complete the I-765 and you marked number 2 in the Applicant\u2019s Statement in Part 3 on Page 4.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 5.\u00a0Contact Information, Declaration, and Signature of\u00a0the Person Preparing this\u00a0\u00a0Application, if\u00a0Other\u00a0Than the Applicant.<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>If no one assisted you in completing the I-765, leave all of Part 5 blank.<\/li>\n<li>Complete this section\u00a0ONLY\u00a0if you have someone else complete the I-765 and you marked number 2 in the Applicant\u2019s Statement in Part 3 on Page 4.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Part 6.\u00a0Additional Information<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>1.a. Write your family name<\/li>\n<li>1.b. Write your given name<\/li>\n<li>1.c.\u00a0Write your middle name<\/li>\n<li>2. Write your A-Number\u00a0(if you have\u00a0one)<\/li>\n<\/ol>\n<\/li>\n<li>Use this page if you need extra space to provide any additional information within this application.\u00a0 See the sample I-765 Page 7 for examples.\n<ol>\n<li>If you have additional information to provide:\n<ol>\n<li>a. Write the page number to which your explanation refers<\/li>\n<li>b. Write the part number to which your explanation refers<\/li>\n<li>c. Write the item number to which your explanation refers<\/li>\n<li>d. Write a brief description of your additional information for USCIS.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 8pt\">09\/23\/2024<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sample I-765 Applications for Off-Campus employment must be submitted via paper application to USCIS. ISSS has an Economic Hardship Sample I-765 application to assist you in completing your paper application to USCIS for Off-Campus employment. Instructions Read the step-by-step instructions below for completing each section of the I-765 (v. exp. 10\/31\/2025) Leave the box\u00a0at\u00a0the top [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/marymount.edu\/academics\/center-global-engagement\/international-student-services\/current-students\/employment\/off-campus-employment\/i-765-application-instructions\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":241,"featured_media":0,"parent":33306,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"page-templates\/left-sidebarpage.php","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","ngg_post_thumbnail":0,"footnotes":"","advanced-sidebar-menu\/link-title":"","advanced-sidebar-menu\/exclude-page":false},"class_list":["post-33331","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>I-765 Application Instructions - Marymount University<\/title>\n<meta name=\"description\" content=\"Sample I-765 Applications for Off-Campus employment must be submitted via paper application to USCIS. 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