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Undergraduate International Student Admissions

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.

These are estimated costs for one academic year
(two semesters)

2008-2009

Academic Year

Summer Term 2009

Estimates only

Tuition and fees (12-18 credits each semester)

$11,161.00

$1,928.00

Undergraduate Books

$1,200.00

$600.00

Room & Board

$6,634.00

$1,559.00 room only

Living Expenses

$4,412.00

$1,503.00

Total without ESL

$23,407.00

$5,590.00

ESL Fee (If needed)

$600.00

$300.00

Total with ESL

$24,007.00

$5,890.00

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.

Source of Funds

FINANCIAL GUARANTEE

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:__________________

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: __________________

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.

Revised 05/14/2008


Weber State University
Ogden, Utah 84408