FINANCIAL CERTIFICATION
FOR INTERNATIONAL EXCHANGE STUDENTS
WILLAMETTE UNIVERSITY MBA
ATKINSON GRADUATE SCHOOL OF MANAGEMENT
Directions:
Complete this form and submit it with official bank verification of funds to the admission office of Willamette University's
Atkinson Graduate School of Management. All financial information must be submitted in English and in U.S. dollars.
1. Family Name (print)
(family name/last name as it is written on your passport)
2. First Name (print)
(first name as it is written on your passport)
3. Amount in U.S. dollars you will have for each semester of enrollment as an exchange student in Willamette University's
MBA program. $
4. Person/sponsor from whom you will obtain funds:
(If you have more than one sponsor, each sponsor will need to complete and sign a Statement of Financial Responsibility)
5. List the name, date of birth, country of birth, and relationship to you of any person who will be in the United States and
dependent on you for financial support while you are attending Willamette University.
6. I certify that the statements on this form are complete and accurate.
Signature of applicant Signature of sponsor/guarantor
Print name (family name, first name) Print sponsor's name (family name, first name)
Address Address
City, Country, Zip City, Country, Zip
Email Email
Phone number Phone number
Date Date
