In
International Student Admissons & Programs University of West Georgia (678) 839-4780 global@westga.edu
SEVERE ECONOMIC HARDSHIP REQUEST
STUDENT INFORMATION
Last Name
First Name
UWG Student ID
917
SEVIS ID
N
Date of Birth
F-2 Dependents
Estimated Start Date
Email Address
Estimated End Date
Semesters in
F-1 Status
• I certify I have read the request form instructions and information in full.
• I certify the information I have provided is, to the best of my knowledge, accurate.
• I understand I (and any F-2 dependents) must have UWG approved health insurance for the duration of my F-1 status.
• I understand I cannot begin working until my EAD card has arrived and I physically possess the card.
• I understand I must report any changes (including financial, employment, address, etc.) to UWG ISAP.
Signature: _______________________________________________________________________ Date: _____________________
APPLICATION MATERIALS:
Submit the following information along with this application to the International Student Admissions & Programs Office
Personal Statement and support documentation
Copies of all previous and current I-20s
Copy of paper or printout of electronic I-94 record.
Copy of F-1 visa page OR approval of change of status to F-1, if applicable.
Financial Situation
Please describe your current situation.
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