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ISSO Morningside | ISSO-CUMC | http://bit.ly/applyCOE
Financial Certification Form
Section 1: My Program Information
1a. My academic school, program, and degree:
_________________ _______________________________
School, e.g. Business Program, e.g. Real Estate Development
______________
Degree, e.g. MBA
1b. My total expenses for the first academic year of my program as listed here: http://bit.ly/estexpense $____________________________
(if you’re coming for one semester only, put half of the total expenses)
1c. My dependent(s)’ total expenses for the first academic year of my program $____________________________
1d. My First Academic Year’s Total Expenses $____________________________
Section 2: My Funding Sources (for My First Academic Year)
Descriptions of the types of documents you need to submit to us (along with this form) are included in this checklist: http://bit.ly/funddocs
Source A. My Personal Funds $____________________________
Source B. My Parents, Family, and/or Friend’s Funds
______________________________ ________________________________________ $____________________________
Sponsor #1’s full name Relationship - Parent, Sibling, Friend, etc.
______________________________ ________________________________________ $____________________________
Sponsor #2’s full name Relationship - Parent, Sibling, Friend, etc.
______________________________ ________________________________________ $____________________________
Sponsor #3’s full name Relationship - Parent, Sibling, Friend, etc.
Do you have another sponsor?
Source C. My Approved Awards, Grants, or Scholarships $____________________________
Source D. My Approved Student Loans $____________________________
Source E. My Employer’s Sponsorship $____________________________
Total Funding for My First Academic Year $____________________________
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ISSO Morningside | ISSO-CUMC | http://bit.ly/applyCOE
2
➡ __________________________________
Student’s Ink Signature 
________________
Date, MM/DD/YYYY
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ISSO Morningside | ISSO-CUMC | http://bit.ly/applyCOE
3
Section 4: My Funding Sources (My Funding Sources for Future Academic Years)
● Do I need to complete this section? If your program is longer than one academic year (or longer than two semesters).
● Why do I need to complete this? For multi-year programs you need to have reliable financial resources for the length of the program. 
● How do I complete this? Use your school’s estimated expenses (as listed on http://bit.ly/estexpense) to complete the information below. You do not need to document these
resources at this time.
Source A. My Personal Funds $____________________________
Source B. My Parents, Family, and/or Friend’s Funds
______________________________ ________________________________________ $____________________________
Sponsor #1’s full name Relationship - Parent, Sibling, Friend, etc.
______________________________ ________________________________________ $____________________________
Sponsor #2’s full name Relationship - Parent, Sibling, Friend, etc.
______________________________ ________________________________________ $____________________________
Sponsor #3’s full name Relationship - Parent, Sibling, Friend, etc.
Do you have another sponsor?
Source C. My Approved Awards, Grants, or Scholarships $____________________________
Source D. My Approved Student Loans $____________________________
Source E. My Employer’s Sponsorship $____________________________ 
Total Funding for each of my future Academic Years $____________________________
I, __________________________________ certify that the funding sources listed above will pay for my future academic years’ tuition, fees, and living expenses.
Student’s full name
➡ __________________________________ ________________
Student’s Ink Signature Date, MM/DD/YYYY
Section 5: Student Financial Services
Thank you for submitting your application for a COE to the ISSO. The information you are listing and documenting also may be provided to
other university offices upon their request, such as your school's Financial Aid office or Student Financial Services (SFS).
SFS is the university office that provides information and methods for paying your bill. Please review their important information on the following
topics:
● Single Prepayment Plan: http://bit.ly/singleprepay
● Columbia Institutional Loans and Disclosures: http://bit.ly/instloans
● Private Loans: http://bit.ly/privloans
If you have questions or require additional information, please contact SFS directly: http://sfs.columbia.edu/
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Completed 11 October 2021

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