Fillable Certificate of Financial Responsibility (New Mexico Institute of Mining & Technology)

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Certificate of Financial Responsibility (New Mexico Institute of Mining & Technology)

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Certificate of Financial Responsibility
In addition to meeting our language and academic requirements, you must be able
to finance your education. Reading and completing this certificate will help you
devise a funding plan for your educational and living expenses. When returning
this completed form, make sure you scan color copies of your financial
documents. This form and all documents should be sent to
michael.voegerl@nmt.edu.
Today's Date
Your Name: Family Name Given Name
Mailing Address: Street
Address City Province Postal Code Country
Do you plan to come to the US with a spouse and/or children? YES NO
If "Yes" please list their names and relationship to you.
Estimated Costs for One Academic Year:
Before we can issue and I-20 or a DS-2019, we need to know that you will have sufficient funds to support
your educational and living expenses here at New Mexico Tech. For the estimated costs, see the "SEVIS
Figures for I-20" in your packet. The estimated costs include tuition, lab fees, books, housing, food and
travel expenses. These are just estimates, your costs could be more or less depending on your particular
situation.
Important Note to Family Sponsors:
Privacy laws in the United States prevent New Mexico Tech from divulging any information about a
student's enrollment, courses chosen or the grades earned --to the parents---without explicit consent from
the student. To get this information you may require the student to sign a "consent form" in our Registrars
Office, specifying that educational information about progress and grades be shares with you when you
request it. You may request that your student obtain official transcripts and send them to you. Transcripts
are available at any time and they contain the most up-to-date information after the close of each semester.
Funding can be from one source or a combination of sources.
Source of Funds
Personal Saving
Family/Relative
Scholarship
Loans
Government/Employer
Stocks/Bonds/Etc
Required Supporting Documents
Official Statement directly from the bank indicating the date the
account was opened, current balance and total deposits over the
past year.
Official Award letter sent directly from the awarding institution
indicating your name amount of award, beginning date of award
and requirements for maintaining the award. New Mexico Tech
must be listed as the institution for which the award was granted.
Official letter from the crediting institution indicating the
approval of the loan, the applicants name and the loan amount.
Official letter containing the same information as the
"Scholarship"section above.
Documents that can prove the ownership of property, stocks,
bonds that can be converted to cash.
All supporting documents are to be scanned color copies e-mailed to michael.voegerl@nmt.edu
Sources of Funds to be used for your support. Enter amounts in US Dollars
Personal Savings: Name of Account Holder Name of Bank Amount in Account
Family/Relative Sponsor: Name Relationship to you Amount in Account
Scholarship: Name Awarded By Amount
Government/Employer: Name of Sponsor Amount
Other Support: Type of Support Amount
Verification of Signatures: Required:
This is to certify that I9we) the undersigned have agreed to provide the funds indicated above to the applicant
for the purpose of full time study at New Mexico Tech and I(we) are submitting bank statements indicating the
availability of these funds.
Family Sponsor: Signatures Name (Please Print) Date
Student Signature: This form is not complete until the student sign.
This is to certify that the information given on this form is complete and accurate to the best of my knowledge.
I am fully aware that any falso or misleading statements will result in automatic denial of admission.
Student: Signature Name (Please Print) Date
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Certificate of Financial Responsibility (New Mexico Institute of Mining & Technology)

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Completed 24 August 2020

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