SIGNATURE
DATE
FINANCIAL RESPONSIBILITY: The following statement must be signed.
I understand that all basic charges for each semester of attendance at Andrews University are payable in full at the time of registration for that semester. I will be responsible
for and do hereby agree to pay promptly all charges. I understand that the terms are payment at the time of registration or at such other times as approved by the University,
and that if any charges remain unpaid thirty (30) days after, a carrying charge of one percent (1%) per month will be added to all unpaid balances on my account. The Univer-
sity holds a security interest in the nature of lien against my transcript, diploma and other documents of record until the account is cleared. I further agree to pay reasonable
costs of collection including attorney’s fees.
IMPORTANT INFORMATION
- Please have this document signed by the individual who will be financially responsible for the student
- If you have your own insurance to cover during your stay in the US, you will not be required to take AU insurance
- If you are planning to work while on campus, you can add up to $5,000 (per year) for campus employment (in the resources section)
- Please request a customized budget sheet if you are planning to attend with your spouse/children
- PLEASE NOTE: The budget sheet is an ESTIMATE ONLY. Please contact your academic department and financial advisor for exact numbers
NAME OF APPLICANT
MASTER'S LEVEL DOCTORAL LEVEL
MASTER OF DIVINITY
CIEP ENGLISH (SECOND LANGUAGE)
TO
MARITAL STATUS
SINGLE MARRIED
NUMBER OF CHILDREN DEPENDENT ON YOUR SUPPORT
CITIZENSHIP: COUNTRY
PERSONAL INFORMATION
BIRTHDATE (M/D/Y) DEGREE APPLYING FOR
1) EXPENSES First Year Second Year Third Year Fourth Year
Tuition & Fees
Books & Supplies
Dorm & Meal Plan
Off-Campus Housing
Dependent Expenses
Living Expenses
Health Insurance
Other
TOTAL
2) RESOURCES (IN U.S. DOLLARS)
Personal and/or Family Funds
Attach proof of funds
- ie. Official Bank Statements/Documents
Sponsorship
Attach official letter of sponsorship
- ie. Official Bank Statements/Documents
Attach proof of loan approval
Scholarship
TOTAL
Please specify
ANDREWS UNIVERSITY ESTIMATED BUDGET FOR STUDENTS ATTENDING ON A VISA (1/2)
LEVEL OF STUDY APPLYING FOR UNDERGRADUATE
I AM PLANNING TO ATTEND FROM
FATHER'S NAME: _________________________________________________
STATE/PROVINCE
MOTHER'S
NAME: _________________________________________________
NAME & ADDRESS OF U.S RELATIVES (IF ANY) : ______________________________________________________________________________________________________________________________________
PHONE NUMBER
_______________________________________
ID #
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