Fillable Form 1.: International applicants seeking F-1 student visas (Illinois State University)

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Form 1.: International applicants seeking F-1 student visas (Illinois State University)

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The Form 1.: International applicants seeking F-1 student visas (Illinois State University) form is 3 pages long and contains:

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  • 18 check-boxes
  • 54 other fields

Country of origin: US
File type: PDF

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F-1 Declaration of Finances Form
Updated: 3/30/2020
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International applicants seeking F-1 student visas must complete this form before a Certificate of Eligibility (I-20)
can be issued.
PERSONAL INFORMATION
1. Surname/Family Name (as it appears on your passport): ______________________
1.
Given Name/First Name (as it appears on your passport): ______________________
2.
Date of birth (MM/DD/YYYY): _______________________
SECTION 2 – EXPENSE CALCULATION
Using table on page 2 please complete the following
1. I will be a: Undergraduate student Graduate student
1.
I have been admitted for:
Fall/Spring
Summer
2.
My estimated expenses for the first academic year will be: $ ________________
3.
My estimated dependent expenses for the first academic year will be:
+
$
________________
4.
My estimated first academic year total expenses will be (add #2 + #3): = $
________________
SECTION 4 – FUNDING SOURCES
Complete the chart below and indicate the sources of funding you will use to cover the cost of your expenses. This form will not
be accepted without all supporting documentation attached.
Funding Sources
Amount
Acceptable Documentation
Personal funds
$
Bank Letter
Bank Statement (Savings/Checking account)
Certificate of Deposit (CD) Statement (maturity date must be prior to the
start of the admitted term)
Line of Credit Letter
Parent, family member and/or friend’s funds
$
Bank Letter
Bank Statement (Savings/Checking account)
Certificate of Deposit (CD) Statement (maturity date must be prior to the
start of the admitted term)
Line of Credit Letter
Approved scholarship, grant, or award
$
Official Award Letter (must include the total amount of funding and
the period of time for which the funding is guaranteed)
Employer sponsorship
$
Sponsorship Letter from Employer (must include the total amount of
funding and the period of time for which the funding is guaranteed)
Approved student loan
$
Loan Approval Letter
Graduate Assistantship
$
GA Offer Letter (sent to International Admissions from the
department)
TOTAL
$
This total must at a minimum equal the value as your estimated first academic
year total expenses.
Section 1. Personal Information
Page 1
Section 2. Expense Calculation
Section 3. Funding Sources
Select
Select
F-1 Declaration of Finances Form
Updated: 3/30/2020
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Additional Funding Source Documentation Requirements:
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Only acceptable forms of documentation are permitted.
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All sources must be readily available funds.
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All letters must be printed on official letterhead from the institution/agency issuing the document and signed.
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All documentation must be dated within 6 months of the date this form is submitted to the Illinois State
University Office of International Admissions at InternationalAdmissions@IllinoisState.edu.
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Documents can be original or scanned/imaged originals. Only .pdf or .doc file types will be accepted.
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If documentation is not in English, an official English translation must also be attached.
SECTION 1 – ESTIMATED EXPENSES
A)
Student Expenses
U.S. immigration law requires that applicants seeking F-1 status must have sufficient funds to cover the cost of educational
and living expenses. The chart below shows the estimated cost of expenses for one academic year.
Undergraduate
Graduate
$ 21,139
$17,290
$9,850
$8,172
$6,442
$7,743
$10,797
$11,091
$37,431
$33,205
$48,228
$44,296
* Spring/Fall tuition is based on 12 credit hours for undergraduate and 9 credit hours for graduate. Other Expenses are calculated based upon the most current academic year Cost of
Attendance Tables found at https://fnancialaid.illinoisstate.edu/paying/cost/.
Summer expenses are based upon 6 credits and a 3-month prorated value for living and other expenses. Actual expenses may vary.
B) Dependent Information and Expenses
I will not bring dependents (spouse/children) (skip to page 2)
I will bring the following individuals (spouse/children) with me as F-2 dependents:
Name (as it appears on passport)
Relationship
Date of birth
Country of birth
Country of citizenship
Students who will bring F-2 Dependents must cover the cost of living expenses for their dependents. The chart below shows the
estimated expenses for dependents.
Page 2
1 Child
2 Children
3 Children
Spouse
Spouse +1 Child
Spouse +2
Children
Spouse +
3 Children
$17,676
$23,625
$33,246
$9,387
$13,644
$17,901
$22,158
Section 4. Estimated Expenses
F-1 Declaration of Finances Form
Updated: 3/30/2020
SECTION 5 – SPONSOR VERIFICATION
Only complete this section, if a parent, family member or friend is listed in the Section 4 as a funding source. Otherwise, skip this
section and proceed to Section 6.
Sponsor 1
$
Last Name, First Name Funding Amount in USD Relationship to applicant
Address (Building Number, Street, Apartment Number)
City Province Postal Code Country
Email Telephone
Sponsor Verification
I hereby certify that I agree to provide the funding amount specified above for the educational expenses of the above-named student for all years of study at Illinois State University,
and that I will provide acceptable documentation as proof of these funds. I understand that tuition and fees are subject to change yearly without prior notice.
Signature
Date (MM/DD/YYYY)
Sponsor 2
$
Last Name, First Name Funding Amount in USD Relationship to applicant
Address (Building Number, Street, Apartment Number)
City Province Postal Code Country
Email Telephone
Sponsor Verification
I hereby certify that I agree to provide the funding amount specified above for the educational expenses of the above-named student for all years of study at Illinois State University,
and that I will provide acceptable documentation as proof of these funds. I understand that tuition and fees are subject to change yearly without prior notice.
_________________________________________________________________ __________________________________
Signature Date (MM/DD/YYYY)
SECTION 6 – APPLICANT VERIFICATION
Applicant Verification
I certify that the information on this application and in any other supporting documentation, bank statement, letters, etc. a re true and correct. I understand that any false information,
willful or negligent misrepresentation, or failure to disclose any requested information will constitute grounds for Illinois State University revoking my acceptance and may jeopardize
my visa status.
___________________________________________________________________ _____________________________________
Applicant Signature Date (MM/DD/YYYY)
Section 5. Sponsor Verification
Section 6. Applicant Verification
Page 3
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Form 1.: International applicants seeking F-1 student visas (Illinois State University)

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Completed 23 July 2020

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