Guide to Selected Form I-765 Questions
Check the box marked “Permission to accept employment” above Question 1.
Question 1. Write your family name first, in CAPS, followed by your given name. Do not write your entire name in
CAPS.
Question 3. You must write the address where you would like your EAD card mailed. If you are moving soon or
have trouble receiving mail, you may use the Office of Global Education address. Use “106 Van Campen Hall” and
write “OGE” in the (Apt. Number) field. Then type “Kent, OH 44242” in the appropriate fields.
Question 5. You must write the name of the city where you were born, followed by the state or province, if any,
and lastly the name of your birth country.
Question 10. Write your entire I-94 number, including the last two digits.
Question 11. If you have never filed Form I-765 before, select No. Please note that Question 11 extends into the
second column of questions; if you select “No” in the bottom of Column 1, you may leave the next three
questions above Question 12 blank.
Question 12. This is the date stamped on your Form I-94 – the date you last entered the United States.