Intensive English Institute (IEI)
FINANCIAL INFORMATION for International Students
Intensive English Institute Students: (Fall 2014)
APPROXIMATE EXPENSES FOR ONE SIXTEEN (16) WEEK TERM OF INTENSIVE
ENGLISH STUDY AT THE UNIVERSITY OF WISCONSIN-WHITEWATER ARE AS
FOLLOWS (IN USD):
Tuition and Fees
Housing and Meal Plan
Required Health Insurance
Miscellaneous
Total
$7586
$4175
$492
$1490
$13743
Expenses may vary from
estimates and may
change at any time.
Intensive English Institute Students: (Spring 2015)
APPROXIMATE EXPENSES FOR ONE SIXTEEN (16) WEEK TERM OF INTENSIVE
ENGLISH STUDY AT THE UNIVERSITY OF WISCONSIN-WHITEWATER ARE AS
FOLLOWS (IN USD):
Tuition and Fees
Housing and Meal Plan
Required Health Insurance
Miscellaneous
Total
$7586
$4175
$492
$1490
$13743
Expenses may vary from
estimates and may
change at any time.
Intensive English Institute Students: (Summer 2015)
APPROXIMATE EXPENSES FOR ONE EIGHT (8) WEEK TERM OF INTENSIVE
ENGLISH STUDY AT THE UNIVERSITY OF WISCONSIN-WHITEWATER ARE AS
FOLLOWS (IN USD):
Tuition and Fees
Housing and Groceries
Required Health Insurance
Miscellaneous
Total
$3793
$2200
$330
$900
$7223
Expenses may vary from
estimates and may
change at any time.
Please note:
 Cost and miscellaneous expenses are relatively conservative estimates for students
who spend wisely. Books are included as part of Tuition and Fees.
 Annual insurance rate currently is $1207, subject to change.
 The miscellaneous category does not include travel to and from Whitewater or the
cost of owning an automobile.
 Tuition and fees are subject to change on an annual basis and determined by July 1.
 Certification of Finances
Refer to estimated expenses when completing this section. Give amounts in U.S.
dollars. The U.S. Certificate of Eligibility (Form I-20) will not be issued until this
information is provided.
Please Note: All international applicants must provide documentation that sufficient
funds are available to cover all expenses for the duration of study. In addition, by
submitting this form you are indicating that you will have adequate funds for each
subsequent year of study from the same funding source or from one or more other
reliable sources.
NAME (please print)
Last
First
S
Future costs may increase by 5% per year
o SELF-SUPPORT
u Name of Bank
r ______________________________________________________
c A bank official’s signature is required on the certification below.
e PARENTS OR INDIVIDUAL SPONSORS
s
______________________________________________________
f
Name
o
r ______________________________________________________
Name of Bank
P Parent’s and/or sponsor’s signature and a bank official’s signature
r are required on the certification below.
o YOUR GOVERNMENT OR OTHER SPONSORING AGENCY
g
r ______________________________________________________
a
Name of Agency
m Enclose a signed copy of your award letter with this form.
UNIVERSITY
f
u ______________________________________________________
n
Type of Award
d
s OTHER (please specify)
______________________________________________________
Middle
$
$
$
$
$
Enclose a signed affidavit from an authorized person certifying the
accuracy of this entry.
The total should equal the Cost of Attendance estimate for your
duration of study up to one year.
$
TOTAL
OFFICIAL CERTIFICATION OF SOURCES OF FUNDS AND AMOUNTS
This is to certify that I have read the information by
the applicant on this form, that it is a true and
accurate statement, and that the funds are
available.
This is to certify that I have read the information
furnished by the applicant on this form that it is a
true/accurate statement, and the funds are
available and will be provided.
SIGNATURE OF
BANK
OFFICIAL____________________________
SIGNATURE OF
GUARANTOR_________________________
Parent or Sponsor
TITLE_______________________________
ADDRESS________________________
NAME OF
BANK_______________________________
RELATIONSHIP OF GUARANTOR TO
STUDENT________________________
ADDRESS OF
BANK_______________________________
__
DATE_____________________________________________
DATE________________________________________