International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
1
FINANCIAL CERTIFICATE & VERIFICATION
This document must be completed with signatures of all parties, or there will be a delay in processing. A letter of deposits
stating dollar amount of readily available deposits and/or proof of scholarships must accompany this form.
This statement and the required supporting financial documents must be on file before an I-20/DS-2019 can be issued. Two sets of
supporting documents should be obtained:
1. One set will be sent to the International Student Admissions & Programs Office and will become part of your file. Photocopies,
faxes and scans are accepted.
2. The other set should be issued to the U.S. Embassy or Consultant. Be sure to have the original documents (no photocopies,
faxes or scans) during your visa appointment.
SECTION 1: APPLICANT INFORMATION
Applicant’s Family
Name (Last Name)
Applicant’s Given
Name (First Name)
Date of Birth
UWG Student ID
917
Phone Number
Term Admitted
Email Address
The University of West Georgia requires financial documentation for the first year of study from each
international applicant before we can issue your I-20 or DS-2019. Please read the document below to determine
what documents you need to provide, and the amount of money you will need to show that you have available.
DOCUMENTS THAT WILL BE REQUIRED
All applicants must show proof of finances. Please obtain an official letter from the bank or financial institution in which you, and/or
your sponsor, have available funds. The letter from the bank must:
be on official bank letterhead;
be in English;
be signed by a bank official;
state the date the account was opened;
the currency type;
state the amount that is currently on the account;
be obtained and dated less than six months from the submission to UWG. (Letters older than six months are considered expired)
Organization (government or private) sponsoring you must provide a letter of sponsorship on official letterhead with the following
information:
organization’s address;
telephone and fax numbers;
original signature and title of the responsible official;
your name;
specific dollar amount;
duration (length) of the scholarship.
Year
Fall
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
2
SECTION 2: DETERMINING AMOUNT OF FUNDING NEEDED
This section will help you determine how much money (in US Currency) you will need to show that you have
available.
1. Your visa type _______________________________
a. F-1 Students are international students who are planning to receive a degree from the University of West Georgia.
b. J-1 Students are international students who are studying abroad at UWG for 1 semester or one year.
i. NOT Direct Pay: (MOST J-1 STUDENTS FALL INTO THIS CATEGORY)
J-1 students that have sponsorship from your home university to study at UWG.
ii. Direct Pay: J-1 students that do not have sponsorship from your home university to study at UWG
2. Length of study at UWG _________________________________
a. F-1 Students will choose until degree obtained.
b. J-1 Students will enter if they choose to study only one year at UWG or one semester.
If you are planning on bringing either your spouse or child/children with you to the United States, you must add the additional amounts
(as specified below).
If you have dependents accompanying you to the U.S. on your visa, you must add the following amounts:
Spouse: $6,000 Each Child: $4,500
Name
(Last Name, First Name)
Date of Birth
(mm/dd/yyyy)
Country of
Birth
Relationship to
Applicant
(spouse/child)
Additional
Amount
1 $
2 $
3 $
4 $
TOTAL $
TOTAL AMOUNT OF FUNDING TO SHOW:
__________________________________________________________________________________
Please note that this is the amount of money that you will need to prove is available as you study at UWG. This amount can be show in
several different forms, including:
Personal funds
Scholarships
Tuition Waivers
Government Sponsorship
Spouse
Spouse
Spouse
Spouse
0
0
0
0
0
Until Degree Obtained
F-1 Students ($32,000)
J-1 Students 1 Semester (NOT Direct Pay) ($6000)
J-1 Students 1 Academic Year (NOT Direct Pay) ($12000)
J-1 Students 1 Semester (Direct Pay) ($9000)
J-1 Students 1 Academic Year (Direct Pay) ($18000)
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
3
SECTION 3: SOURCE OF FINANCIAL SUPPORT
This section will show where the amount of funding required will be obtained. Provide amounts in U.S.
Dollars and check all that apply.
Personal Funds (Funds in your personal bank account)
Name of Bank Amount
$
Parents’ and/or sponsors funds (Funds available to you from a parent, guardian or other sponsor)
Sponsor’s Name Relationship to Applicant Amount Provided
$
$
$
Government or Private Funds (Government or private agency scholarships available to you)
Agency Name Type of Agency Amount Provided
$
$
$
University of West Georgia Funding (UWG waivers, athletic scholarships, etc.)
Type of Funding Duration of Funding Amount Provided
$
Other Funding (Any other types of funding you have available to help you pay for your education at UWG.)
Funding Source
Type of Funding (scholarship,
waiver, etc.)
Duration of Funding Amount Provided
$
$
$
TOTAL AMOUNT OF FUNDING SHOWN:
__________________________________________________________________________________
This is the amount that you have shown is available to you while you study at UWG. It should match or exceed the amount on page 2.
$ 0.00
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
4
SECTION 4: FUNDING SUMMARY
1. Amount of funding required to show: ___________________________________
This is the amount of money you are required to demonstrate based on your duration of study, visa type, and number
of dependents.
2. Amount of funding shown: ___________________________________
This is the amount of funding you can prove is available to you based on scholarships, personal funds, and
sponsorships.
3. Amount still needed before I-20/DS-2019 can be issued: ___________________________________
If the amount in box 3 is zero (0) or a negative number (-), you have demonstrated that you have the funds required
to study at UWG.
SECTION 5: REQUIRED SIGNATURES
This certifies that the total amount of money available for the first year of study (as provided in the box
above) is available. Further, I certify that all of the above and attached information provided is accurate and
complete and I will not require further financial assistance from the University of West Georgia.
Required Signature Printed Name Signature Date
APPLICANT/STUDENT
SPONOR(S)
Attach additional sponsor
signatures, if needed.
SPONOR(S)
Attach additional sponsor
signatures, if needed.
SPONOR(S)
Attach additional sponsor
signatures, if needed.
SPONOR(S)
Attach additional sponsor
signatures, if needed.
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
$ 0.00
Subtract box 1 from box 2 in this section (Section 4)
Add Total Amount of Funding to Be Shown to the Total in
Dependents (both on page 2). This is the total amount you
need to show.