University of Oregon    AEI

AEI Application, Part 2

This is Part 2. Please print out this page and fill out all of the information.


Name (Family Name, First Name) _______________________________________

Applying to AEI for: ____________________________________ (which term/s)

Date of Birth (month/day/year) _________________________

APPLICATION FEE: 65 U.S. Dollars

Please send a cashier's check, money order or credit card information for the required fee.

    Credit Card Number:_____________________________

    Card Security Code (3 or 4 digits, usually on back of card): _______

    Expiration Date:_______________________

FINANCIAL STATEMENT

The American English Institute is required by the United States Immigration and Naturalization Service to obtain evidence that each applicant has adequate funds to pay for educational and living expenses during the period of study.

Please indicate the source(s) of your funds and the amount of money guaranteed. Send the documentation required.
Mark all that apply with "X" Source of Funds for Period of Study Amount Guaranteed Documentation Required
(You must send)
  Personal Funds   Bank statement, signed by a bank official, stating exact amount of funds available.
  Guarantor   Bank statement, signed by a bank official, stating exact amount of funds available. Signature of the guarantor on this form.
  Scholarship   Copy of Scholarship or fellowship award letter, a government authorized letter of support.
  Other   Document, such as a loan agreement, signed by a responsible official, stating exact amount of funds available.

Guarantor Signature

If a guarantor will provide your funds, please have him or her complete the following:

I guarantee to provide ___________________________________ (name of applicant) with U.S. $____________ for _______ year(s) of study abroad.

    Signature of the Guarantor ___________________________

    Date _______________________

    Relationship to Applicant ________________________________


CERTIFICATION AND SIGNATURE

I certify that the information provided on this application and financial statement is correct and complete and that I will notify the American English Institute of any changes in my financial situation or academic status.

Signature ____________________________ Date _______________


Return this form, the AEI application fee, original financial statement, and original school transcripts to:
    Admissions Coordinator
    American English Institute
    5212 University of Oregon
    Eugene, OR 97403-5212
    U.S.A.

 

**Please note: This application is to the American English Institute and its courses only. It is not an application for admission to the University of Oregon graduate or undergraduate programs.