Attestation Regarding English Language Proficiency Based on a Documented Interview
I, ________________________ [NAME, TITLE] declare that I am an employee of UNCW and
that I am a □ native English language speaker or □ fluent in the English language.
On ___________________ [DATE] I conducted an interview in English □ in person or □ by
videoconference with ______________________ [NAME].
I declare that _______________ [NAME] is proficient in the English language so as to successfully
participate in his or her J-1 program and to function on a day-to-day basis in the U.S.
Signature: ______________________________________ Date: _______________________
Print name and title of person signing attestation: _____________________________________