Information about http://www.webs.uidaho.edu/ipo/intlstudents/_documents/incoming_ex_docs/incoming_app_packet.pdf
Application for Incoming Exchange Students…
Tags: academic year, birth country, course descriptions, current address, department telephone, e mail, edu schedule, emergency contact, english language exam, english language exams, environmental science, fall spring, guardians, incoming exchange students, office administrator, parent guardian, students exchange, university approval, university of idaho, www students,Pages: 6
Language: english
Created: Wed Feb 20 12:14:25 2008
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Application for Incoming Exchange Students
Exchange Information:
What is your home university?
Desired Exchange Term(s): Fall Spring Academic Year Summer 20
Personal Information
Name as on passport:
City & Country of birth:
Country of Legal Permanent Residency:
Parent / Guardian Information:
Name: Relationship:
Current Address:
Telephone: E-Mail:
Emergency Contact Information (if different from parents/guardians):
Name: Relationship:
Current Address:
Telephone: E-Mail:
Academic Information:
Major Field of Study:
Field of Study while on Exchange (if different from Major):
Plan of Studies at UI:
English language exam taken: Score:
(Go to http://www.students.uidaho.edu/default.aspx?pid=15611 to find a list of acceptable English language exams and scores)
Courses you are interested in taking at the University of Idaho:
(List twice the number of courses you will actually take. Refer to: http://www.uidaho.edu/schedule to see courses offered during
your exchange term. For course descriptions click on "General Catalog")
SUBJ / CRSE Course Name
(example) ENVS 101 Intro. to Environmental Science
Home University Approval:
(To be filled-out by your home school's International Office)
Administrator's Name: Title:
Department:
Telephone: Fax:
Email:
I approve this student's application for the exchange with the University of Idaho.
Signature: Date
Student's Signature
I verify that all statements made by me on this application form are complete and accurate to the best of my
knowledge.
Signature: Date
The following documents must accompany this application (all documents may be faxed but original financial
documents must follow by mail):
1. Non-Degree Application (see below)
2. Copy of official language exam score sheet (not required for students coming from an English-speaking country, or
from Växjö or Luleå Universities).
3. Official transcript(s) (From all universities attended)
4. Certificate of Financial Responsibility (see directions and form below)
Deadlines to submit this application plus accompanying documents are:
o May 15 (fall/academic year applicants)
o October 15 (spring applicants)
o February 15 (summer applicants)
Please submit this application to the International Programs or International Exchange Office at your home
university. Upon home university approval, the application will be forwarded to the University of Idaho.
For Office Use Only
Student ID # Tentative Acceptance
Final Acceptance
1 Resident 1 Non-Resident
Application for Non-Degree Incoming Exchange
The non-degree category is for applicants who wish to enroll in courses pertaining to their personal interest and who do not want to work toward a formal degree at the University of
Idaho.
Semester: (choose one) 1 Fall 1 Spring 1 Summer Year: __________________
Exchange Type: 1 Incoming Exchange (coming to USA)
PLEASE PRINT
Legal Name: __________________________________________________________________________________
Last First Middle
Other and former names used: ___________________________________________________________________
Social Security Number (optional):_______________________________ Date of Birth :______________________
Month/Day/Year
Permanent Address: ____________________________________________________________________________
Street City State/Province Zip Code
Permanent Telephone: _____________________________________
Current Address: _______________________________________________________________________________
Street City State Zip
Current Address Valid Until the Following Date: ______________ Current Telephone: ______________________
E-mail Address: _________________________________________
Are you a U.S. Citizen? 1 Yes 1 No If No, Country of Citizenship: ___________________________
Country of Birth: ______________________________ Permanent Resident Card #:________________________
GENDER: (optional) 1 Male 1 Female
RACE/ETHNICITY: (optional) 1 African American/Black 1 American Indian/Native American/Alaskan Native
1 Asian American 1 Caucasian/White
1 Hispanic/Latino/Latina 1 Native Hawaiian or Other Pacific Islander
1 Other___________________________________________________
Have you graduated from high school?
1 Yes Name of High School: ___________________________________ City: _____________________ ___
Graduation Date: ________ State:___________________________
Month/Year
1 No If No, have you completed the GED? 1 Yes Date: ________________ 1 No
Signature
In signing this form, I acknowledge that failure to disclose and submit accurate information may result in denial of admission or
dismissal from the institution. I certify that all information provided is complete and true. Additionally, by signing this application, I
certify that I am in compliance with the Federal Military Selective Service Act, 50 U.S.C. Section 453, or that I am exempt from the
same. Men between the ages of 18 and 25 must be registered with Selective Service to be eligible for enrollment at a state
college, to receive state and federal financial aid, and to be employed in a state or federal job. You may register on-line at
http://www.sss.gov.
Signature (Required)_________________________________________________ Date_________________
Directions for filling-out the Certificate of Financial Responsibility:
All students are required to certify that they have enough funding in U.S. currency to meet their educational
expenses for the term(s) they plan to study at the University of Idaho.
"Applicant Information" Section
· Fill-in your name, read the paragraph and sign and date.
"Sources of Funds" Section
· Determine the amount of funding you will need to show and the amount that will be covered for you
by the UI Study Abroad Office.
UI Tuition and Fees are covered for all exchange students by the UI Study Abroad Office. (All
students will be responsible to pay any "Special Course Fees". If a course has "Special Course Fees" the fees are
listed within the course information in the Class Schedule.)
Additionally, room and board will be covered by the UI Study Abroad Office for students from
SANN-Research Institute, PUCE-Pontifícia Universidad Católica del Ecuador, KEMU-Kenya
Methodist University, AUI-Al Akhawayn University in Ifrane, or ISEP-International Student
Exchange Program.
Using the amounts listed on the form, fill-in the total amount that will be covered by the UI Study
Abroad Office, on the "UI Department" line.
Subtract that amount from the total estimated expenses for the term(s) you plan to study at UI.
This is the amount of funding you will need to show. You can show this through self-support,
support from parents or individual sponsors, support from your government or other sponsoring
agency, or other funding sources you may have.
Fill-in the funding amounts you have from sources other than UI Study Abroad. Be sure to attach
the required documentation that is listed under each type of funding source.
"Parent or Guarantor's Signature" Section
· Ask your parents or individual sponsors to fill-out this section.
"Dependents" Section
· Only fill-out this section if you plan to bring a spouse or children with you.
Certificate of Financial Responsibility
The U.S. Citizenship and Immigration Services regulations require that every international student verify the availability of funds
to pay for educational and living expenses before an I-20 or DS-2019 form to obtain a visa to enter the U.S. can be issued.
Complete and return this form to the International Programs Office (IPO) regardless of your source(s) of funding.
Applicant Information: (PLEASE PRINT)
Legal Name ___________________________________________________________________________
Family First Middle Maiden/Former Name
I verify that I have resources available to meet the tuition and fees, room and board, books and supplies, and personal and health expenses. I understand that the
costs listed below are estimates and are subject to change without notice. Falsification of my financial status in order to obtain a Certificate of Eligibility (I-20/DS-
2019) is a violation of United States law and may subject me to revocation of my visa. I understand that UI may verify the authenticity with the issuing institution
of any documentation that I provide. I permit UI to release information to third parties about my application or financial records if misrepresentation is suspected or
confirmed.
Signature __________________________________________ Date_________________________
ESTIMATED EXPENSES FOR ONE ACADEMIC YEAR
UNDERGRADUATE GRADUATE
1 YEAR 1 SEM 1 YEAR 1 SEM 1 SEM per credit (1 cred)
Tuition and Fees $14,490 7,245 $15,030 7,515 387 (up to 7 credits)
Room & Board 6,424 3,212 6,424 3,212 3,212
Personal Expenses 2,926 1,463 2,926 1,463 1,463
Books, Supplies & Med Ins. 2,830 1.415 2,830 1,415 1,415
Total $26,670 $13,335 $27,210 $13,605 $6,477 + additional credits
Add $4,000 for Summer Session
Add $6,869 for spouse
Add $3,767 for each child
Sources of Funds Amount in U.S. Dollars
Self-Support $
Please attach a statement from a bank official on the bank's stationery verifying the amount you indicate.
Parents or Individual Sponsors *(signature required below) $
Your guarantor must sign the certification portion below. Please attach a statement from the guarantor's
bank verifying his/her ability to provide you with the funds you indicate.
Your Government or Other Sponsoring Agency $
Enclose with this form a signed copy of your letter of award, specifying the current date, the dollar amount,
and the exact starting date and length of the grant.
UI Department: _UI Study Abroad Office_________ $
Other: Specify__________________________________ $
Enclose with this form a signed affidavit from an authorized person to certify the accuracy of this entry.
TOTAL (in U.S. Dollars) $
All financial documents must be in English and must bear a signature, official seal, or be on letterhead from an official agency.
Documents must be dated within 6 months of receipt.
*Parent or Guarantor's Signature
This is to certify that I have read the information furnished by the applicant on this form, that it is a true and accurate statement, and that the
funds are available in U.S. currency and will be provided as required.
Signature of Guarantor Date Signed Relationship to Student
Print Name: Last First Middle Initial
Guarantor's Address
Will any dependents accompany you during your stay at the University of Idaho? No Yes If yes, please complete the reverse side.
Dependents
You MUST complete this section if you intend to bring dependents with you. You must be prepared to provide proof to the
consular official of sufficient funding for each accompanying dependent. Estimated costs (including mandatory health insurance)
for dependents are as follows:
SPOUSE $6,869
EACH CHILD $3,767
Dependent's Name as written in passport Birthdate Country of Birth Country of Citizenship Gender Relationship
MM/DD/YYYY
Last (Family) First
Total Expenses of Dependents $_____________________
(Include this amount in the total on other side)
Reminders:
Spouses with F-2 visa status are not permitted to work under any circumstances. Spouses may apply for work
permission only if they have J-2 visa status.
You are responsible for all costs. Students are ultimately responsible for securing all financial resources. In the event that a
private sponsor, government agency or other funding source is delinquent with financial support, the student is held
responsible. Registration may be blocked and housing contracts, transcripts, diplomas, and I-20s or
DS-2019s are not issued for individuals who owe money to the University of Idaho.
To get a visa and/or enter the U.S. Keep copies of all documents you submit as evidence of financial responsibility because
you may need to present that documentation to the U.S. Embassy or Consulate official when you apply for your visa. An
immigration official may also require documentation when you enter the U.S. It is wise to include documentation of your
financial plan for the full length of your academic program.