(Required of all applicants seeking a Student or Exchange Visitor Student Status)
It is necessary that the information requested below be provided since very few students receive financial support from the university and
immigration regulations severely limit or prohibit employment in the United States for students holding non-immigrant status (F-1, J-1).
Because Wayne State University is a tax-supported institution, most financial aid funds are reserved for legal
residents of the United States. Normally, graduate students from abroad are eligible to apply for scholarships,
fellowships, and graduate assistantships only after having demonstrated exceptionally good academic progress
during the first year of their graduate study. However, some departments award graduate assistantships to foreign
applicants at the time of admission; please consult with the chair of the department to which you are applying.
Most assistantships do not cover costs for an entire calendar year. Proof of additional funds from other sources
listed below may be necessary before a certificate of eligibility for a student visa can be issued.
A non-resident is expected to provide funding for the first year of study (two semesters or eight months and a
four-month summer period) in addition to all transportation, housing, and miscellaneous costs.
COMPLETE THE FOLLOWING: Please type or print in ink.
1. ❒ Mr. ❒ Ms. ________________________________________________________________________________________
Family or Surname First Name Middle
2. Are you married? ❒ Yes ❒ No Will your family accompany you? ❒ Yes ❒ No
If yes, how many of your immediate family members will accompany you? ________________________
Please provide information on your dependents
tnedutS ot pihsnoitaleR fO nezitiC htriB fo yrtnuoC htriB fo setaD)s(emaN
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
3. Do you have the funds necessary to cover your expenses for your first year of study? ❒ Yes ❒ No
Itemize in U.S. dollars the financial resources you will have available and include documentation
for each item. (i.e., bank statements or statements verifying liquid assets. These statements must
be no more than six months old.)
a. From personal savings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _________________
b. From your family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _________________
c. From your government. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _________________
d. From other sources (specify & provide documents. . . . . . . . . . $ _________________
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _________________
4. If you plan to remain at the university for a second year or longer, which of the above resources will you be able
to depend on? ❒ a ❒ b ❒ c ❒ d
5. Are the regulations of your government such that this amount of money can be released to you in US dollars?
❒ Yes ❒ No
6. Has the department to which you applied informed you that you are being considered for an assistantship?
❒ Yes ❒ No
7. What is your non-immigrant preference? ❒ F-1 ❒ J-1 (Based on your source of funding)
Signature of Applicant: ___________________________________________________ Date: _________________
PARENT, GUARDIAN OR SPONSOR: Please read and sign below.
I am aware of the above financial requirements of Wayne State University, and guarantee the funds necessary for
this student to meet all financial obligations.
Print Name: ____________________________________________ Address: _______________________________
Signature: ______________________________________________ Address: ________________________________
Relationship to the Applicant: _______________________________________________________________________________
Statement of Financial Support Statement of Financial Support
Statement of Financial Support Statement of Financial Support
Statement of Financial Support