Fillable Certificateoffinancialsupport2016

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Certificateoffinancialsupport2016

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2016-2017 CERTIFICATE OF FINANCIAL SUPPORT FOR INTERNATIONAL STUDENTS
International students are required to submit the Certificate of Financial Support (COFS) to fulfill conditions of the
United States government in obtaining an F-1 visa to study in the U.S. The COFS and all supporting financial
documents are required for international students coming from abroad or F-1 students transferring from another
U.S. institution. Please submit the completed form and supporting documents electronically
to thow@CalLutheran.edu or via fax 805-493-3645.
IMPORTANT INFORMATION
Before Cal Lutheran can issue a Form I-20, you must document sufficient funds available for your first year’s
educational and living expenses. Please refer to the estimated cost of attendance below. You must provide the
information required on this form – including the signature of your parent or guardian, as well as the signature of
an officer of your bank or other financial institution – to fulfill all financial requirements. All funds must be
guaranteed, either currently on deposit or documented in a scholarship letter if you are a sponsored student. Bank
statements (issued within the previous 6 months) may include checking or savings accounts, certificates of deposit,
or money market accounts.
ESTIMATED COST OF ATTENDANCE FOR 2016-2017
Tuition and Fees
$39,793
One Time International Fee
$2
50
International Student Fees
$1,400
Room and Board
$13,060
Books and Supplies
$1,800
Miscellaneous Fees
$3,200
Total Costs
$59,503
I. STUDENT INFORMATION (
Names must be listed exactly as it officially appears on your passport)
First Name:
Middle Name:
Last Name:
Please check if your family will accompany you. You must show evidence of an additional U.S. $6,370 per
year for each dependent and attach a copy of passport identification page or birth certificate for each dependent.
II. ADDRESS INFORMATION
Foreign
Address
U.S. Address (if available)
Street 1: Street 1:
Street 2: Street 2:
City: City:
State: State:
Zip code: Zip code:
Country:
To which mailing address should we send your Form I-20? Foreign U.S.
Passport Name:
Email:
Date of Birth (m/d/y):
CLU ID Number:
Phone Number:
III. SOURCES OF FUNDS
Please include the sources of assured support in U.S. dollars. The total must be equal to or greater than the total costs
as listed in the estimated cost of attendance on this form.
$
Person
al (Print name of bank)
Official bank statements and a bank’s official signature is required below
$
Parent
s (Print name)
Official bank statements and parent’s official signature is required below
Sponsor (Print name)
$
Official ba
nk statements and sponsor’s official signature is required below
$
Government of Private Agency (Print name of Government/Agency)
A signed letter or document indicating in details which fees will be provided must be submitted
$
Cal Lutheran
Include any award from the university. No documents required
$
Other (P
lease specify)
Official documents/certificates will be required
TOTAL
$
IV. OFFICIAL CE
RTIFICATION
Bank Official: I certify that I have read the information on this form and that the applicant and/or family listed on
this form have the necessary funds to provide for the educational and living expenses. My signature implies no
responsibility on the part of myself or the bank.
Name of
official: Signature: Date:
Parent: I certify that I have read the information provided by the applicant on this form, that it is a true and
accurate statement, and that I will provide the funds as indicated above.
Name of official: Signature: Date:
Sponsor
: I certify that I have read the information on this form and I will provide the applicant with the necessary
funds as listed above for the purpose of studying at California Lutheran University.
Name
of sponsor: Relationship to applicant: Date:
Signat
ure:
Student: I
certify that the statements are complete and accurate. Furthermore, I agree to assume all financial
responsibilities should my source(s) of funding, as specified above, be interrupted or stopped.
Signature: Date:
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Certificateoffinancialsupport2016

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Completed 22 November 2019

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