Please complete the form below for items 1-14 and provide the appropriate documentation for items 15-17.
1) Student name (as it appears in passport)
2) Foreign address
3) Local address, if applicable
4) Date of Birth*
5) Country of Birth*
6) Country of Citizenship*
7) Program Enrolled In
8) Degree Sought
9) Beginning date of studies
10) Ending date of studies
11) Level of English proficiency
12) Estimate of student’s average costs for 9 or 12 month academic term, i.e., tuition and fees, living expenses, etc.
13) Financial support, i.e., evidence of student’s personal funds, funds from EVMS, funds from other sources, on-campus employment, etc.
14) If student has dependents I will also need this information on each dependent, including their full name and relationship to student
15) Copy of passport title page
16) If currently in US, a copy of visa page in passport
17) Copy of both sides of I-94 form (if currently in US)