Financial Statement - Undergraduate Admissions Page 2
ADVERTISEMENT
1
2Students with Dependents
Students who wish their spouse or child to accompany them to Iowa City on F-2 or J-2 visas must submit additional
evidence of adequate financial support for their dependents’ living expenses and health insurance costs.
Estimated Annual Living Expenses*
Spouse
$3,200
Each Child
$2,500
Annual Insurance Costs*
International students with 1/4 –time or
International students without
greater graduate assistantships
assistantships
Student & spouse
$2,056
$7,248
Student, spouse, & child(ren)
$4,309
$13,956
Student & child(ren)
$4,309
$10,584
*Figures quoted are subject to increase without notification.
Information Regarding Dependents
The following information is needed to issue immigration documents for your family members for the purpose of
obtaining F-2 or J-2 visas. List all dependent family members (if any) who will accompany you to Iowa City. Do not
list family members who are not your dependents (such as parents, cousins, siblings). Attach a copy of the family
member’s passport.
(Use a separate sheet if more than three dependents will accompany you.)
Family Member #1
Family Member #2
Family Member #3
surname (family name):
surname (family name):
surname (family name):
given name / s
given name / s
given name / s
date of birth (mm/dd/yy):
date of birth (mm/dd/yy):
date of birth (mm/dd/yy):
city and country of birth:
city and country of birth:
city and country of birth:
country of citizenship:
country of citizenship:
country of citizenship:
country of legal permanent residence:
country of legal permanent residence:
country of permanent residence:
relationship to you:
relationship to you:
relationship to you:
Submit this to the Office of Admissions • The University of Iowa • 107 Calvin Hall• Iowa City, IA 52242-1396 • USA
Office of Admissions (#2) – 7/15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial