Application form for UW certificate program:
Business for International Professionals (Autumn-start) 2008 (Program ID# 2861)

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Return to program description

To apply, please print, complete and mail this form with your required materials to the address below.

The 2008-2009 program begins in September 2008. Applications are now being accepted and will be reviewed in the order they are received through July 27, 2008. After July 27, 2008 you are encouraged to call 206-685-0606 or e-mail us to learn if a program is still accepting applications.

I wish to apply to the UW Business for International Professionals (Autumn-start) Certificate Program. I enclose this completed form with the following:

• $50 nonrefundable certificate program fee
• My résumé
• Letter of application
• Proof of satisfactory English proficiency (see Admission Requirements)
• $300 nonrefundable tuition deposit (charged if the applicant is accepted to the program)
• If applying for an I-20, a statement or document (issued by a bank or other financial institution) confirming financial support for tuition, fees and all expenses during your time in the program. This financial statement should show a balance of at least $7,200.

I wish to have my Visa Eligibility (I-20) form sent via Express Mail, and agree to pay the $40 fee.

Please type or print clearly and accurately. Your I-20 is based on this information.

Name (family):
First name/middle initial:
Male      Female
Social Security number:
Country of Birth:
Nationality:
Date of birth:
Permanent Address:
City, State:
Country:
Zip Code/Postal Code:
Local U.S. Address (if different):
City, State:
Zip Code:
Daytime telephone:
E-mail address:

Do you need an I-20 for an F-1 student visa?   Yes    No
If you are planning to be a full-time student, you must have an F-1 student visa.

If you are now in the U.S., what kind of visa do you have?  
 F-1    B-2    J-1    U.S. Resident    Other

If you have previously attended or are currently attending another school in the U.S., write the name of the last school that issued your I-20: 

Name of husband/wife coming with you: 
Date and place of birth (if applying for F-2): 

Name(s) of children coming with you: 
Date(s) and place(s) of birth: 

Do you have medical insurance?   Yes    No
Name of insurance company: 
Health insurance is expensive in the U.S. If you have an F-1 visa, you are required to have medical insurance. Our school provides insurance to students who do not have coverage.

If you are accepted into the program, we will send you a Visa Eligibility form (I-20), which you must take to the American Embassy or Consulate in your country to request your entrance visa to the United States. Due to variations in mail delivery to different countries, you may not receive a response to your application for four weeks or more.

Method of payment:

	Check in U.S. funds made payable to the University of Washington. (Returned checks are subject to a $25 service fee.)
	Third-party payer: separate document (purchase order or letter of authorization to bill) must accompany this application.
	VISA
	MasterCard

Card number:
Expiration date:
Name as it appears on card:
Credit card billing address:
City/State/ZIP
Signature: