International Student

Supplemental Application
(Please print clearly or type)

This application form is for international student applicants (non-U.S. citizens and non-resident aliens). If you are a U.S. citizen or
resident alien, you will only need to submit the program application form. Program application forms are available on-line at
http://www.une.edu/admissions or by contacting the Office of Admission, University of New England, 11 Hills Beach Road, Biddeford,
Maine 04005-9599, USA or at admissions@une.edu.

Please note: information requested on this form will be used to complete the Certificate of Visa Eligibility for Nonimmigrant F-1 Student Status,
commonly known as the I-20 form. This is the document issued by a school through the internet-based Student and Exchange Visitor Information
System (SEVIS) for presentation at a U.S. consulate abroad to apply for an F-1 Student visa; it must also be presented to an immigration official upon
entry into the U.S.

Your passport and I-20 form MUST match in order for you to be issued an F-1 visa stamp and be admitted into the United
States to study. Please PRINT your information EXACTLY as it appears in your passport.

Family Name: ________________ Given Name: ________________________ Middle Name (if applicable): ____________________
U.S. Social Security Number: ______ - ______- _______ (leave blank if you do not have one) Male Female
Date of birth: Month: _______ Day: ________ Year:_________ Country of Birth: ______________________________________
Country of Citizenship: _______________________________ Country of Residence: ______________________________________
Intended Program of Study at UNE: _______________________________________________________________________________
If you are currently in the United States, your immigration status: F-1 J-1 B-1 Other: _______________________
Visa Expiration Date: _________________________ Admission/Departure Number on your I-94:_____________________________
Your Passport Number: _______________________ Passport Expiration Date: __________________________________________
Marital Status: Not Married Married - If you are married, will your spouse accompany you to the USA? Yes No
If you have children, how many will accompany you to the United States? _________________________________________________
On a separate sheet of paper, please list the complete names and birth dates of each accompanying child and/or your spouse. If
either your spouse or your children will accompany you, remember to show increased financial support on the Declaration of Finances.
Please include your complete mailing address, as it should be written on an envelope (in English): _____________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Phone: Country Code _______ City Code _________ Number _________________________________________________________
Fax: Country Code _______ City Code __________ Number ____________________ E-mail: _______________________________
If you wish to allow another person to discuss your application with us, please indicate the following:
Contact Person’s Name: ______________________________________ Relationship:_______________________________________
Please include their mailing address, as it should be written on an envelope (in English): _____________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Phone: Country Code _______ City Code _________ Number _________________________________________________________
Fax: Country Code _______ City Code __________ Number ____________________ E-mail: _______________________________
If you wish to allow another person to discuss your application with us, please indicate the following:
Do you wish all correspondence to be directed to this person? Yes No
Please check one:
I will be an undergraduate student at UNE I will be a graduate student at UNE
Please check one of the following:
This is my initial attendance at UNE I am an IELP student on the UNE campus
I have attended UNE previously My last term was__________________________________________________________
I am an F-1 student transfer from _____________________________________________________ (high school or college name)
*F-1 student transfers must fill out the “F-1 Student Transfer Verification Form” available from the Office of Admission
To ensure reasonable success in the classroom, all students applying as undergraduate or graduate degree-seeking students to the University of New
England must demonstrate proficiency in the English language. International students generally show proficiency by taking the Test of English as a
Foreign Language (TOEFL). To be accepted into a full-time University degree program, a minimum score of 213 (computer test), 550 (paper test), is
required.

I took (or will take) the official TOEFL (if applicable) on ___________________________________________________________ (Date)
I requested (or will request) the scores to be sent directly to the University of New England (3751) on ______________________ (Date)
My other proof of English language proficiency is ____________________________________________________________________
I took (or will take) the SAT/ACT/GRE/MCAT exam on ______________(Date) Name of Exam _______________________________
I requested (or will request) the scores be sent directly to the University of New England on ______________________________ (Date)
STATEMENT OF FINANCIAL RESOURCES
Department of Homeland Security regulations require institutions to obtain evidence stating that applicants have adequate financial
resources to provide for their expenses while studying in the United States. Funds may come from a variety of resources, including
personal savings, scholarships, fellowships, sponsoring agencies, continuance of salary, the applicant’s family or any dependable
source. All international applicants, those applying from outside and those currently living in the United States, must fill out the
Declaration of Finances and submit supporting evidence of funding.

DECLARATION OF FINANCES
Current costs for each of the programs at the University of New England may be found on-line at www.une.edu/financialaid/costs.html.

I certify that I will have adequate funds for my travel to and from the United States. Yes No
I certify that I can make the necessary arrangements to have all funds transferred to the United States. Yes No
I certify that these funds will be provided (check all that apply):
from my own savings by my parents other (specify) ______________________________________________________
Sponsor's name: ______________________________________________________________________________________________
Signature of Sponsor: ______________________________________________________ Date:______________________________
Relationship of sponsor: ______________________________ Title or Organization: ________________________________________
Address of sponsor: ___________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
On a separate piece of paper, please provide a list of each of the sources that will be used fund your costs at UNE. This should
include separate information for 1) personal funds, 2) family funds, 3) scholarships funds, 4) government funds, and 5) other funds.
Please include name, relationship, address, occupation, guarantee statement, and signature with date of individuals that will help
support your educational expenses.

Read the following instructions very carefully. Please note that support may come from one or several sources.
• Enter the amount of funds that will be available for each year of study next to each applicable source of funds.
• Enter amounts in U.S. dollars.
• Enter the information requested about each applicable source of funds.
• Enter the total amount of funds that will be available for each year of study for a 12-month period.
• Remember to enclose evidence of funds for each indicated source. Statements from banks or savings, employer or government must
be on an official letterhead, must include the original signature of an official representative, and must specify amount of money
available in U.S. dollars.

I certify that all the information I have provided is true and complete and reflects my entire educational background as is necessary for my level of entry.
I also certify that I will provide official documents in support of my educational history to the University of New England.

Your signature____________________________________________________________ Date ______________________________

IMPORTANT NOTE FROM THE U.S. GOVERNMENT:
All applicants for a non-immigrant student visa are now required to pay a $100 SEVIS fee. Please visit the U.S. Immigration website for more
information. This fee must be paid before the applicant arrives at the consulate for the visa interview. Visit on-line at https://www.fmjfee.com/index.jhtml.
Please complete both sides of the application and return to the Office of Admission. Attach an affidavit of support documenting ability to pay all
educational and living expenses while studying in the United States. The affidavit may include a notarized letter from your sponsor and current bank
statements. The I-20 will be issued when this form is returned with the appropriate affidavit of support.