Admissions Office ,

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Admissions Office

1725 State Street , La Crosse, WI 54601 USA

Email: admissions@uwlax.edu

Tel: +1 (608) 785-8939 - Fax: +1 (608) 785-8940

Affidavit of Support

Students seeking F-1 or J-1 student status are required by law to document that sufficient funds are available to cover all expenses while attending the university. Keep a copy of all financial support documents to present to the U.S.

Consul when you apply for your student visa. Please visit this website for the most recent estimates: http://www.uwlax.edu/International-Education/Tuition-and-expenses/

Student’s Name (Print): _________________________

Surname/Family Name

_______________________ ______________

First/Given Name Middle Name

Marital Status: [ ] Single [ ] Married

Will your spouse or children accompany you as F-2 dependents? [ ] No [ ] Yes

*If yes, you must provide evidence of sufficient funding for your spouse and/or children (additional $5,000 required for spouse; $3,000 for each child). You must also submit passport copies of any dependents in need of an F-2 visa to the Admissions Office.

Signature of student: _________________________________________ Date: ______________

To be completed and signed by the sponsor:

Name of Sponsor: _____________________________________________________

Relationship to Student: ________________________________________________

Amount of Funding Available: ___________________________________________________

SIGNATURE OF SPONSOR: By signing this document, I agree to be financially responsible for all expenses of the student named above while he/she attends the University of Wisconsin–La Crosse. This includes all tuition, fees, health insurance, housing, meal plans and living expenses. I have reviewed the estimated costs and understand that costs are subject to change.

Proof of funding in the form of a letter/statement from my financial institution, showing at least the minimum amount required is attached to this Affidavit of Support. F-1 students must show documentation for one year of study or the length of the program, whichever is less. J-1 students are required to show sufficient funding for the duration of the program based on these yearly estimates

Note: If multiple bank statement pages are submitted, be certain each page clearly reflects the same account. If the bank statement is a corporate/business account, a letter authorizing personal use of the account must be provided.

______________________________________ _________________________________________ _______________

Full Name Signature Date

Please complete and return this form to:

Admissions Office, University of Wisconsin-La Crosse, 1725 State Street, La Crosse, WI 54601 USA

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