WEBER STATE UNIVERSITY
INTERNATIONAL STUDENT ADMISSIONS OFFICE
1130 University Circle, Ogden, Utah 84408-1130
CONFIDENTIAL FINANCIAL STATEMENT FOR UNDERGRADUATE INTERNATIONAL STUDENT ADMISSIONS PURPOSES
Every international student must complete the confidential Financial Statement on the back side of this form. Students must show they have sufficient funds to comply with the regulations of the United States Bureau of Citizen and Immigration Services. This form must be submitted before we can issue an I-20 or IAP-66 form that enables you to apply for the student visa for entry into the U. S.
University tuition, fees, housing & meal plan payments are due at the beginning of each semester.
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These are estimated costs for one academic year (two semesters)
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2008-2009
Academic Year |
Summer Term 2009
Estimates only |
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Tuition and fees (12-18 credits each semester) |
$11,161.00 |
$1,928.00 |
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Undergraduate Books |
$1,200.00 |
$600.00 |
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Room & Board |
$6,634.00 |
$1,559.00 room only |
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Living Expenses |
$4,412.00 |
$1,503.00 |
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Total without ESL |
$23,407.00 |
$5,590.00 |
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ESL Fee (If needed) |
$600.00 |
$300.00 |
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Total with ESL |
$24,007.00 |
$5,890.00 |
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Health Insurance |
Must provide own insurance, cost is unknown |
THERE IS NO FINANCIAL ASSISTANCE available from WSU for international students.
A separate bank statement must be attached to this form. Please make sure that the student’s name is on this form and that the amounts shown are in U.S. $ dollars.
If you are receiving a scholarship from your government or from an institution in your country, please attach a copy of the award notice to this form.
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Source of Funds
FINANCIAL GUARANTEE |
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Personal funds
1. Student Certification - State below the amount (in U.S. dollars at current exchange rate) available for at least 9 months while you will be in school in the U.S. Do not include travel funds, anticipated earnings or uncertain funds:
Amount available: $ ____________________
I certify that the information provided here is correct and complete.
Print name of student
_______________________________________________________
Signature of student: _______________________________________________________
Date:__________________
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Sponsor or Family funds
2. Sponsor or Family Certification: This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement and that the funds are available.
Print name of sponser:
_______________________________________________________
Signature of sponser:
_______________________________________________________
Relationship to student: __________________ Date: __________________
Address: ________________________________________________
________________________________________________
Telephone: __________________ |
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NOTE:
Married students should add $5,500.00 for a spouse.
Spouse Name_____________________________
DOB* _____________________________
Country of Birth _____________________________
*DOB = Date of Birth |
Also add $3,000.00 for each accompanying child.
Name ___________________________
DOB* ___________________________
Country of birth ________________________
Relation to student ___________________________
For any additional children attach separate sheet.
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Revised 05/14/2008