Fillable WCU International Programs & Services: CERTIFICATE OF FINANCIAL (Western Carolina University)

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WCU International Programs & Services: CERTIFICATE OF FINANCIAL (Western Carolina University)

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WCU International Programs & Services: CERTIFICATE OF FINANCIAL RESPONSIBILITY
(TO BE COMPLETED BY INTERNATIONAL UNDERGRADUATE APPLICANTS, RESIDING OUTSIDE OR
INSIDE THE US AND SEEKING TO APPLY FOR AN F-1 or J-1 VISA)
Please complete this form and then send it to International Programs and Services (international@wcu.edu)
along with your application materials.
Section 1: Personal Information
Name: _____________________________________________________________________________________________________________
Last / Family / Surname First / Given Name Middle Name
Gender: __________ Male ___________ Female Date of Birth (MM/DD/YYYY): ________________________
Section 2: Funding
You must document sufficient funds available for your first year’s academic and living expenses. Please indicate
how you will be supported in the space provided in Section 3. For information on living expenses at Western
Carolina University please refer to the Cost of International Students page on the International Programs and
Services website. Please attach any supplemental documents to this form, e.g. bank statement, scholarship
form, other proof of funding.
Section 3: Sources of Funding
Funding Sources
Amount Per Year in U.S. Dollars
Personal Funding
Funding from Parents
Funding from Sponsor (Employer or University)
Government
Total
Section 4: Signature and Contact Information
Email: _____________________________________________ Phone Number: _______________________________________
Student’s Signature: ______________________________ Date (MM/DD/YYYY): ________________________________
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WCU International Programs & Services: CERTIFICATE OF FINANCIAL (Western Carolina University)

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Completed 1 September 2020

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