Fillable CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS) Requesting (American University)

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CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS) Requesting (American University)

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CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS)
Requesting an I-20 or DS-2019 document from American University
All sections of this form must be completed, signed, and accompanied by proof of financial funds before it is sent to your admissions office.
Note: Please make sure that your biographical data (Name, Date of Birth, and Citizenship) match your passport.
Part I - GENERAL INFORMATION (PLEASE PRINT CLEARLY )
AU STUDENT ID #: _______________ GENDER: Female Male Other
7 Digit Number
NAME __________________________________________________________________________________________________________
As it appears on your passport
Last
First
Middle
BIRTHDATE: ____________________ COUNTRY OF BIRTH: __________________________
CITY OF BIRTH: ___________________________
Month Day
Year
COUNTRY OF CITIZENSHIP: _____________________________
TELEPHONE: _________________________________________
APPLYING/ADMITTED TO: BA/BS MA/MS PHD PROGRAM: CAS KOGOD SIS SPA SOC WCL
CERTIFICATE NON-DEGREE JD SJD SOE ABROAD AT AU WASHINGTON SEMESTER
PERMANENT MAILING ADDRESS (NON
‐
U.S. MAILING ADDRESS IS REQUIRED FOR ALL INTERNATIONAL STUDENTS):
________________________________________________________________________________________________________________________
_________________________________________________________________________________ COUNTRY: _____________________________
U.S. MAILING ADDRESS (REQUIRED FOR IMMIGRATION TRANSFER STUDENTS):
STREET: _________________________________________________________________________________________________________________
CITY: ___________________________________________ STATE: _______________________ ZIP CODE: ____________________ COUNTRY: USA
F-1: We will send an email containing a link to download the I-20 from iEagle once your I-20 form has been created.
J-1: Place a check where you would like AU to mail your DS-2019: BETWEEN THE DATES OF ____________ TO ____________ (MM/DD/YY)
PERMANENT MAILING ADDRESS
U.S. MAILING ADDRESS
OTHER ___________________________________________________________
Part II - INDICATE THE TYPE OF IMMIGRATION DOCUMENT REQUESTED FOR STUDY (PLACE AN “X” IN THE APPROPRIATE BOX)
REQUESTING AN I‐20 (FOR F‐1 VISA) FROM AMERICAN UNIVERSITY
I am outside the U.S. and am requesting an I‐20 to be issued by American University in order to obtain an F‐1 student visa.
I am currently studying at a U.S. institution on an F‐1 and will transfer my immigration status to American University. Therefore, I am
requesting an I‐20 to be issued by American University. (Please submit a copy of your current I‐20 and a completed Immigration
Transfer-In Form*)
• Name and location of U.S. school most recently attended: ______________________________________________________________
• Dates of attendance: __________________________
I am a student at American University, and I am beginning a new degree program in ____________________________________________
I am in the U.S. on another visa, and I want to change to an F‐1. Specify current visa type: ________________
_______________________________________________
REQUESTING A DS‐2019 (FOR J‐1 VISA) FROM AMERICAN UNIVERSITY
My financial sponsor requires that I study on a J‐1 visa. I am requesting a DS‐2019 to be issued by American University.
• Name of financial sponsor: __________________________________________
• My current job title (or student status) in my home country: ____________________________________________________
I am currently in J‐1 status and will transfer my immigration status to American University. Therefore, I am requesting a DS‐2019 to be issued
by American University. (Please submit a copy of your current DS‐2019 and a completed Immigration Transfer‐In Form*).
• Name of current J‐1 Program Sponsor: _____________________ _____________________________________________
NOT REQUESTING AN I‐20 OR DS‐2019 FROM AMERICAN UNIVERSITY (CURRENTLY ON OTHER VISA CATEGORY)
I will study on a __________ visa, and will not need immigration documents from American University.
I am in the U.S. on another visa, and I want to change to a J-1. Specify current visa type:_________
CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS)
Requesting an I-20 or DS-2019 document from American University
Part III FINANCIAL PROOF
All students must be able to demonstrate financial ability to pay for at least one year of their academic and living expenses before American
University can issue an immigration document. In addition, students must ensure that they have the funds available to cover all expenses for the
duration of their program of study.
DEPENDENT INFORMATION: If you will be accompanied by your spouse and/or children on an F‐2 or J‐2 class of admission, you are
required to demonstrate your financial ability to support them. The additional cost of supporting a spouse is USD $5,500 per year and the
additional cost for each child (under 21 years old) is USD $4,000. Please provide us with the information below regarding your dependents:
Dependent’s Full Name as it
Date of Birth:
Country
City of Birth
Country of
Citizenship
Relationship
Email Address
Appears in the Passport:
(MM/DD/
of Birth:
Permanent
(husband/wife/
(if over 18 years old)
(Last, First, Middle)
YYYY)
Residency
(J
‐
2 only):
son/daughter):
Sources of Funds: Please attach financial documents for each source of funding provided in the chart below.
F-1 students – Please certify sources of funds available to you for the first year of your program.
J-1 students – Please certify sources of funds for the entire length of your program of studies.
Financial document(s) must be a bank letter, in English or notarized English translation, on bank’s letterhead, with bank’s official’s signature,
bank stamp or seal and dated within the last three months of the date of submission to American University.
SOURCES OF FUNDS
PERSONAL (Funds from self and private loans)
Name of Bank: __________________________ City & Country of Bank:_____________________________________
FAMILY (Funds from immediate family members: parents or spouse)
Name of Account Holder ___________________________________ Relationship to Student __________________
Name of Bank: __________________________ City & Country of Bank:_____________________________________
Family Member’s Signature: _________________________________________________
INDIVIDUAL SPONSOR* (Funds from other individuals or extended family members who are not legally present in the U.S.)
Name of Sponsor ____________________________________ Relationship to Student _______________________
Name of Bank: __________________________ City & Country of Bank:_____________________________________
Individual Sponsor’s Signature: _________________________________________________
*Sponsors who are U.S. citizens, U.S. permanent residents, or nonimmigrants present in the U.S. must submit a completed I‐134 Affidavit
of Support Form with financial documents in English dated no more than 3 months from the date of submission to American University.
Note: For Room & Board contributions fill out Part 7. The form can be accessed from:
h
ttps://www.uscis.gov/i-134
.
GOVERNMENT, EMPLOYER OR OTHER ORGANIZATION (Attach a signed copy of your official sponsorship letter.)
Name:_________________________________ Type: (CHECK THE BOX BELOW)
U.S. Government
Company
International Organization
Home Government
Employer
AMERICAN UNIVERSITY (Funds from Scholarship, Merit Award, or other. Attach a signed copy of your award letter.)
ADDITIONAL SOURCES OF FUNDS (The form is available at https://www.american.edu/ocl/isss/forms.cfm)
TOTAL (Must be equal to or greater than the
‐
estimated expenses for one year in your program of study and those related to
supporting dependents if any. Cost guides can be found here: https://www.american.edu/ocl/isss/cost-guides.cfm)
AMOUNT IN US$
$___________
$___________
$___________
$___________
$___________
$___________
$___________
I certify that the above information and the attached supporting documents are true and complete to the best of my
knowledge. I understand that I am responsible for all the expenses related to my program of study at American University.
Student’s Signature: ______________________________________________ Date: _________
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CERTIFICATION OF FINANCES FOR INTERNATIONAL STUDENTS (CFIS) Requesting (American University)

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Completed 12 September 2021

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