Expense
Undergraduate
Semester
Segregated Fees $550
Fees (Int’l and New student fees) $360
Housing and Meals $3,700
International Student Health Insurance $800
Miscellaneous Personal Expenses $1,900
Total $7,310
1) Review Estimated Annual Expenses & Financial Documentation Requirements below.
2) Provide student information (Page 2, Part I).
3) Indicate your funding source(s) and the amount available from each source. If you have one or more
financial sponsors (parent, relative, organization), verify their sponsorship by completing (Page 2, Part II).
4) Attach financial documents to verify that you and your sponsor(s) have available financial assets equal to or
greater than one year of costs.
In order for UW Parkside to issue your DS-2019 immigration document needed for US student visa purposes, we require documentation
indicating that you have sucient funds for all academic and personal expenses for your academic program. Estimated expenses include
fees, personal living expenses and health insurance. Actual expenses may vary.
Funding must be available for your exchange program. Exchange students are NOT eligible for U.S. federal or state financial aid.
Additionally, U.S. immigration regulations severely restrict student employment so international students should not anticipate subsidizing
their studies by earning income in the United States.
All fees and other charges for the semester are due at the beginning of the term
.
INSTRUCTIONS
ESTIMATED EXPENSES FINANCIAL DOCUMENTATION REQUIRED FOR VISA
PURPOSES, must:
Be in English.
Be on ocial bank letterhead with a stamp/seal and/or bank
ocer’s signature.
Demonstrate a minimum of total estimated expenses for one
academic year in your educational program.
Include an issue date that is within 6 months of your university
application date.
Include the account holder’s name.
Include a specific amount in dollars (USD).
Financial Sponsorship Form
University of Wisconsin-Parkside | Exchange Students | Part 1
Type of Documentation* Acceptable Not Acceptable
Bank Letters or Banks Statements (Savings or Checking Accounts)
Fixed/Term/Time Deposits – must be able to be withdrawn at any time without penalty
Loan Letters
Scholarship Letters (Private, Government, School, etc.)
Solvency Letter - Bank letter indicating funds immediately available to the individual
Employer Letters / Salary Statements x
Provident (Retirement) Fund Statements x
Stock Market, Equity, or Mutual Fund Statements x
Please return this form to:
UW-Parkside International Student Services
900 Wood Road
Kenosha, WI 53144 USA
karin.basken@uwp.edu
Be at Parkside.
Please return this form to:
UW-Parkside International Student Services
900 Wood Road
Kenosha, WI 53144 USA
karin.basken@uwp.edu
Be at Parkside.
University of Wisconsin-Parkside Financial Sponsorship Form - Page 2
PART I - Type, sign, and submit this form to the Parkside International Student Services Oce
1. Applicant Name (as on passport):
________________________________________ 2. Date of birth __ __ / __ __ / __ __ __ __
3. Student ID: 2 _ _ _ _ _ _ _ _
4. Country of birth: __________________________
5. Country of citizenship: ___________________
6. Email address: ___________________________________________________________________________________________
P
ART II Source of Funds: Indicate your funding source(s) and the amounts provided by each source.
Verification for Sponsors (if applicable)
This is to certify that I, the undersigned agree to provide the funds required for study at UW-Parkside and that I am submitting financial
document(s) indicating the availability of these funds. Attach the appropriate financial documentation showing funds available for one
year of costs.
Source of Funds Instructions
US Dollar
Amounts
o
I will pay from my own personal account Attach financial document(s) with applicant’s name and current fund balance.
$
o
This family member will pay for my education.
Name:
Attach financial document(s) with the sponsor’s name and current fund balance
AND have the sponsor sign section A below.
$
o
I will have a scholarship(s) from: Attach proof of the scholarship with the applicant’s name and amount of the
scholarship.
$
o
I will have a student loan from: Attach proof of the loan with the applicant’s name and amount of the loan.
$
o
My government/company will pay for my
education.
Attach sponsorship letter with applicant’s name and amount of sponsorship funds.
$
o
List Other Funding: Attach sponsorship letter with applicant’s name and amount to be provided
$
$
Sponsor 1: Typed Name Date: Relationship:
Sponsor 1: Signature Amount:
This is to certify that the information given on this form is complete and accurate to the best of my knowledge. I am fully aware that any
false or misleading statement will result in a termination of my admission.
Applicant Signature: _____________________________________________________ Date: _______________________________
Sponsor 2: Typed Name Date Relationship:
Sponsor 2: Signature Amount:
Month/Date/Year