International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
1
FINANCIAL CERTIFICATION
J-1 STUDENTS
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.
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 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.
STEPS FOR THE STUDENT:
Step 1: Fill out sections 1 and 2 of this form to determine the final amount of funding that you must show in order for your
DS-2019 to be processed by the University of West Georgia.
Step 2: Contact the funding sources (sponsors, government agencies, departments, etc), to get proof of all of your
funding. You will be asked to provide copies of bank statements and official letters with your funding amounts in order to
be considered for your DS-2019.
Step 3: Complete sections 3 and 4 and attach all documentation to show you have the amount of funding needed to study
in the United States. Send a copy of this information to the ISAP office to receive your DS-2019 and keep the original
documentation for 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
Phone Number Term Admitted
Email Address
917
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
2
SECTION 2: DETERMINING AMOUNT OF FUNDING NEEDED
1. J-1 Students are international students who are studying abroad at UWG for 1 semester or one year.
a. 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.
$6,000 per semester
b. Direct Pay: J-1 students that do not have sponsorship from your home university to study at UWG
$ 9,000 per semester
2. 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 NEEDED:
J-1 Students:
[SEMESTER (_____________) X ______ SEMESTER(S) = FIRST YEAR (_______________)]
+ DEPENDENTS TOTAL (____________) = Total Funding to Show: _______________
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.
Adjust number of semesters as needed.
$ 0.00
$ 6,000.00
2
$ 12,000.00
$ 12,000.00
International Student Admissions & Programs
1601 Maple St. Carrollton, GA 30118
Phone: (678) 839-4780
Fax: (678) 839-5509
Updated: July 1, 2018
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. Attach the required documents to prove each amount listed.
Personal Funds (Funds in your personal bank account)
Name of Bank Account Type Amount
Statement
Attached?
Parents’ and/or sponsors funds (Funds available to you from a parent, guardian or other sponsor)
Sponsor’s Name
Relationship to
Applicant Name of Bank
Account
Type
Amount
Provided
Statement
Attached?
Government or Private Funds (Government or private agency scholarships available to you)
Agency Name Type of Agency Amount Provided
Official Letter
Attached?
University of West Georgia Funding (UWG waivers, athletic scholarships, etc.)
Type of Funding Duration of Funding Amount Provided
Official Letter
Attached?
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
Official Letter
Attached?
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
Updated: July 1, 2018
4
SECTION 4: FUNDING SUMMARY
TOTAL AMOUNT OF FUNDING TO SHOW TOTAL AMOUNT OF FUNDING SHOWN
SECTION 5: REQUIRED SIGNATURES
This certifies that the total amount of money available for the first year of study (as provided in the boxes
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 or US
Government to study in the USA.
Required Signature Printed Name Signature Date
APPLICANT/STUDENT
(REQUIRED)
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.
SPONOR(S)
Attach additional sponsor
signatures, if needed.
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
BANK OFFICIAL
(RECOMMENDED)
$ 12,000.00
$ 0.00
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