Western Michigan University
International Student Application Form

NAME OF APPLICANT (as it appears on official documents)

 
Family NameGiven Name
U.S. Social Security Number (if available)     -   -       

PERMANENT HOME COUNTRY ADDRESS (REQUIRED)

 
(Number)(Street) 
 
(City)(State/Province)(Zip/Postal Code)(Country)

MAILING ADDRESS

 
(Number)(Street) 
 
(City)(State/Province)(Zip/Postal Code)(Country)
Gender: Male Marital Status: Married
 Female Single
CITIZENSHIP (Country):  
DATE OF BIRTH City and Country of Birth 
Month/Day/Year
PHONE # FAX # E-MAIL 

Degree applying for (mark one):

Bachelor's  
Master's 
Doctorate 
 

Enrollment date (mark one):

`
 Fall (Sept. - Dec.) 2009 
 Sring (Jan. - April) 2010 
 Summer I (May - June) 2010 
U.S. VISA TYPE HELD OR EXPECTED 
SUBJECT I WANT TO STUDY (Programs list: international.wmich.edu/content/view/27/52/):
 
OBJECTIVE TEST(S) YOU HAVE TAKEN OR PLAN TO TAKE:
TOEFL DATE  
GMAT DATE  
GRE DATE  
OTHER ENGLISH TESTS DATE  

List below all secondary and post-secondary institutions you have attended or are attending:

InstitutionDates of attendanceDegree/diploma received
 
 
 

*Conditional Admission/English Proficiency: If I am eligible for a Western Michigan University program, but am unable to document the required English proficiency, please consider me for conditional admission and enrollment in CELCIS, WMU's intensive English program.

Please Check:

 YESNote desired semester and year of CELCIS enrollment (Fall, Spring, Summer I/II): 
 NOI do not wish to be considered for CELCIS enrollment. 

*Student Certification:I certify all information on this application is complete and accurate to the best of my knowledge. I have also read carefully the costs of enrollment and am prepared to meet these expenses. Failure to report all institutions attended will invalidate my application and may result in dismissal if admitted.

Signature  Date  
Application fee (U.S. $100.00 non-refundable) payment information
 YES, I am enclosing a check for U.S. $100.00 drawn on a U.S. bank made payable to Western Michigan University.
 YES, I authorize Western Michigan University to bill my credit card U.S. $100.00 for the application/document fee.
  Credit Card Type
 VISA Mastercard Discover
  Account Number
                               
Expiration Date
   /       (Month/Year)
3-Digit code
     (found on back of card/signature panel)
Name on Card
 
Signature
 

** PLEASE KEEP A COPY OF THIS INFORMATION FOR YOUR RECORDS **

 

International Student Application form
WESTERN MICHIGAN UNIVERSITY
STATEMENT OF FINANCES

NAME OF APPLICANT (as it appears on official documents)

 
Family NameGiven Name
U.S. Social Security Number (if available)     -   -       

ADDRESS

 
(Number)(Street) 
 
(City)(State/Province)(Zip/Postal Code)(Country)
CITIZENSHIP (Country):  

Please provide proof that funding is available. Personal/family funds must be verified by a bank statement. If sponsored by your government, an official letter must be submitted showing that the scholarship is valid for use at WMU, indicating beginning and ending dates of validity.

Following is a list of estimated expenses which the typical student is expected to pay during each academic year of full-time enrollment (for 2009-2010 academic year, Eight months, 24-32 hours Undergraduate, 12 hours Graduate).

Cost Categories Undergraduate Undergraduate Graduate
  Lower Division
(freshman/sophomore)		 Upper Division
(junior/senior)
Tuition & Fees  $ 19,552.00*  $ 21,684.00*  $ 10,986.00* 
Room & Board  7,784.00  7,784.00  7,784.00 
Books & Supplies  1,000.00  944.00  1,600.00 
Medical Insurance  1,589.00  1,589.00  1,589.00 
TOTAL  $29,925.00  $32,001.00  $21,959.00 
  • The above figures are based on tuition and fees listed below. Tuition and fees are subject to change by the WMU Board of Trustees.

    • Undergraduate Lower Division (freshman/sophomore level classes) students are charged a flat rate of $9,387.00 for 12-16 credit hours.
    • Undergraduate Lower Division (freshman/sophomore level classes) students are charged $649.24 per credit hour over 16 credit hours a semester.
    • Undergraduate Upper Division (junior/senior level classes) - $10,453.00 for 12-16 credit hours.
    • Undergraduate Upper Division (junior/senior level classes) - $722.90 per credit hour over 16 credit hours a semester.
    • Graduate students are charged $850.62 per credit hour each semester.

Fees per semester*

  • International students are charged a $25.00 per semester / $12.50 per session fee
  • All students are charged an enrollment and student assessment fee of $356.00 per semester / $177.50 per session.
  • In addition, all students are charged a one-time records initiation fee of $300.00 upon entering WMU.
  • Room and board costs are approximately the same on and off campus.
  • The University requires that all students be covered by adequate medical insurance.
  • Additional $4,000.00 per spouse/child will be required if you plan to bring your dependent(s) to the U.S.
  • Personal/incidental fees are not included in the above costs.
  • For details on fees, please refer to WMU Registrar's Office Web site at www.wmich.edu/registrar/tuition/index.html
Name of Sponsor (please print or type): 
Relationship of Sponsor to Student: 
If Funds Are Provided by an Organization, Give Name and Address of the Group:
 

** PLEASE KEEP A COPY OF THIS INFORMATION FOR YOUR RECORDS **

 

International Student Application form
Western Michigan University
International Student and Dependent Information

SECTION 1 (Everyone must complete this section, even if you do not have dependents)

 
Family NameGiven NameMiddle Name
U.S. Visa type held  U.S. Social Security Number (if available)
Or Expected  
 - - 

CHECK ONE OF THE FOLLOWING:

  1. ___ I do not have any F-2 or J-2 dependents (F-2 or J-2 visa holders) here in the U.S.
    (This section is complete. Please proceed to Section 3)
  2. ___ I do have F-2 or J-2 dependents (F-2 or J-2 visa holders) here in the U.S.
    (Complete Section 2 and 3)
  3. ___ I do have dependents twho will be applying for an F-2 or J-2 visa to enter the U.S.
    (Complete Section 2 and 3)
  4. ___ I do have dependents but they will not be applying for an F-2 or J-2 visa to enter the U.S.
    (Information is complete. Please proceed to Section 3)

SECTION 2

If you have checked #2 or #3 above you MUST complete SECTION 2. If you have checked #1 or #4, skip this section and proceed to Section 3. Failure to provide this information will result in ineligibility for a U.S. VISA and/or loss of VISA benefits.

DEPENDENT #1 Information

 
Family NameGiven NameMiddle Name
DATE OF BIRTH (M/D/Y)  Female Male 
COUNTRY OF BIRTH COUNTRY OF CITIZENSHIP 
RELATIONSHIP TO APPLICANTSpouse Son Daughter 
U.S. VISA TYPE HELD OR EXPECTED 

DEPENDENT #2 Information

 
Family NameGiven NameMiddle Name
DATE OF BIRTH (M/D/Y)  Female Male 
COUNTRY OF BIRTH COUNTRY OF CITIZENSHIP 
RELATIONSHIP TO APPLICANTSpouse Son Daughter 
U.S. VISA TYPE HELD OR EXPECTED 

DEPENDENT #3 Information

 
Family NameGiven NameMiddle Name
DATE OF BIRTH (M/D/Y)  Female Male 
COUNTRY OF BIRTH COUNTRY OF CITIZENSHIP 
RELATIONSHIP TO APPLICANTSpouse Son Daughter 
U.S. VISA TYPE HELD OR EXPECTED 

DEPENDENT #4 Information

 
Family NameGiven NameMiddle Name
DATE OF BIRTH (M/D/Y)  Female Male 
COUNTRY OF BIRTH COUNTRY OF CITIZENSHIP 
RELATIONSHIP TO APPLICANTSpouse Son Daughter 
U.S. VISA TYPE HELD OR EXPECTED 

**IF ADDITIONAL SPACE IS NEEDED PLEASE PROVIDE INFORMATION ON ANOTHER SHEET OF PAPER AND ATTACH TO THIS DOCUMENT**

SECTION 3 (Everyone must complete this section)

Student Certification: I certify that all information on this form is complete and accurate to the best of my knowledge.

Signature Date 

Please return application to:

International Admissions and Services
Haenicke Institute for Global Education
Western Michigan University
4255 Ellsworth Hall
1903 W Michigan Ave
Kalamazoo, MI 49008-5246 U.S.A.
Phone: 269-387-5865 Fax: 269-387-5899
Email: oiss.info@wmich.edu, Web: http://international.wmich.edu

** PLEASE KEEP A COPY OF THIS INFORMATION FOR YOUR RECORDS **