This is to be completed by both the student and his/her.parent or guarantor. All signatures must be original and bank statements must be officially stamped or sealed.
All amounts must be calculated in American (USA) dollars.

All portions of this Declaration of Financial Resources form must be completed before a decision can be made on Your application for admission.

Return completed form to:

RICK HILLMAN, Office of Admissions University of Wisconsin Oshkosh 800 Algoma Blvd., Dempsey 135 Oshkosh, WI 54901-8602 (USA)

Estimated Expenses for 1996/97 School Year

Tuition and Fees	$8,000.00
Living Expenses (Room, Board and Personal Expenses)	$4,600.00
Books, Supplies and Insurance	$1.600.00
EXPENSES FOR NINE MONTHS:	$14,200.00

* If student plans to attend summer school, please add $3,500 to total. ** These figures are not inclusive of travel to and from your home country.

Date of Birth:	________________________________
	Month	Day	Year

Place of Birth: _______________________________

Desired Visa Status:

___	Student(F-1)	___	Exchange Visitor
___	Immigrant	___	Diplomat or Official
___	Other (specify)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

FSFORM . 96 GENERAL INFORMATION

1. Area of Study:

   ________________________________________________________________

2. Expected Years of Study: _______________

   Degree Objective:___________________________

3. Expected Starting Date:

   ________	________	________
   Month	Day	Year

4. Friends or Relatives Attending UW Oshkosh

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

5. Marital Status: ___ Single ___ Married

   List all dependents you plan to bring with you:

   Relationship	Date of Birth	Nationality
   _____________________________	______________	_____________________________
   _____________________________	______________	_____________________________
   _____________________________	______________	_____________________________

   How will you support them?

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

6. Father's Name: ________________________________________________________

   Annual Income(USA dollars):____________________

   Employer:________________________________________________________

   Occupation: ________________________________________________________

   Father Deceased: ____________________

   Mother's Name:________________________________________________________

   Annual Income(USA dollars):____________________

   Employer: _________________________________________________________

   Occupation: ________________________________________________________

   Mother Deceased: ____________________

   Sponsor's Name:________________________________________________________

   Occupation: ________________________________________________________

   Annual Income(USA dollars):____________________

7. Parents Marital Status: ____ Married ____ Divorced
8. List Brothers and Sisters with Ages of Each:

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

9. Number of Brothers or Sisters in College: ____________________________

10. Number of your total dependents: ____________________________

11. Does your family receive income from assets held in your country or in another country? Yes ___ No ___

12. Does your family own any automobiles? Yes ___ No ___

13. List your family s average annual expenses (USA dollars):

    Food:	$_______________
    Clothing:	$_______________
    Housing:	$_______________
    Rent/Mortgage	$_______________
    Taxes:	$_______________
    Other:(Explain)	$_______________
    Total	$_______________

    Explain: _________________________________________________________

14. Value of family assets (USA dollars):

    Land and Buildings	$_______________
    Savings	$_______________
    Investments	$_______________
    Debts	$_______________
    Other	$_______________

15. Does your government impose any restrictions on release of funds for study in the United States?

    Yes ___ No ___
    If yes explain:

    ________________________________________________________________________

    ________________________________________________________________________

16. What is the present exchange rate of your country s currency to U.S. dollars?

    ____________________________	=	____________________________
    Your country's currency		United States Dollar

    THE ACTUAL AMOUNT OF MONEY (U.S.) AVAILABLE EACH YEAR HAS TO BE COMPLETED FOR EACH YEAR YOU WILL BE IN THE UNITED STATES AT UW OSHKOSH. A DECISION WILL NOT BE MADE WITHOUT THESE AMOUNTS / FILLED IN.

    SOURCES OF FINANCIAL SUPPORT (U.S. DOLLARS) SIGNATURE OF PARENT OR SPONSOR IS REOUIRED BELOW

    Please print (except signatures)	Assured First Year	Projected Sources Second Year	Third Year	Fourth Year
    1. Personal and/or family savings: (A bank official's signature below or on an attached letter is required)	$____________	$____________	$____________	$____________
    2. Parents and/or sponsors: (Bank official's signature required) Print name of each.
    _________________________	$____________	$____________	$____________	$____________
    _________________________	$____________	$____________	$____________	$____________
    3. Government Sponsor (Print name of agency)
    _________________________	$____________	$____________	$____________	$____________
    4. Other: (Specify below and enclose certification)
    _________________________	$____________	$____________	$____________	$____________

    ---

    BANK AND/OR PARENT'S OFFICIAL CERTIFICATION OF SOURCE OF FUNDS

    This is to certify that I have read the information given by the applicant on this form, that it is true and accurate, and that the funds are available and will be provided as specified.

    Parents signature: __________________________________________________

    Address: ____________________________________________________________

    Date: ____________

    Sponsors signature: _________________________________________________

    Address: ____________________________________________________________

    Date: ____________

    Relationship of sponsor to applicant:

    ___________________________________________________________

    Bank official signature:

    ______________________________________________________________

    Name and Address of Bank:

    ______________________________________________________________

    Do you plan to remain in the US during the summer? __ Yes __ No

    Do you plan on attending summer school? __ Yes __ No

    What are the sources and amounts of support available to you during the summer?

    Sources:	______________________________	US DOLLARS	__________________
    Sources:	______________________________	US DOLLARS	__________________

    I certify that the information provided here is correct and complete.

    Student signature ___________________________________________________

    Date ____________________________

    ** Providing false information may jeopardize a student's visa status and furthermore may result in an institution revoking its initial decision to enroll the student.