INTERNATIONAL STUDENT FINANCIAL VERIFICATION
Office of Admissions and Records
6420 S. E. 15
th
Street
Midwest City, Oklahoma 73110-2799
F-1 international students are required to show documentation proving that sufficient financial resources are available to pay for
educational and living expenses while studying in the U.S., according to United States Citizenship and Immigration Service
(USCIS). You should plan on having extra funds available for things such as travel back to your country or to stay in the United
States during the summer months, as summer costs are not shown in the estimated expenses below. Tuition costs are estimated
and subject to change by the Oklahoma State Regents for Higher Education. A Certificate of Eligibility (I-20) will not be issued
without valid proof of financial resources. Financial documents must be certified originals that are less than 90 days old.
Estimated Expenses
(Based on 12 credit hours per semester for Fall and Spring):
Tuition and Fees .............................................................................................................................. $8,300.00
Books and Supplies ........................................................................................................................... 1,100.00
Living Expenses (based on current campus housing costs) .............................................................. 8,600.00
TOTAL COSTS .......................................................................................................................... $18,000.00
$2,500.00 in additional funds must be shown for each dependent spouse, and $2,500 for each dependent
child that will be coming with you.
Students may need to rent an apartment within the Midwest City area or in nearby Oklahoma City.
Location of a student’s housing may affect transportation costs. On campus housing is also available, but
there are a limited number of rooms and space is not guaranteed. Students must apply for on campus
housing separately. Information is available on our website.
All international students are required to purchase and maintain Health and Repatriation Insurance.
The cost will be determined by the insurance company and policy plan the student chooses.
Applicant’s Name: _________________________________ _________________________________ _____________________
(please print) Last (Family) First (Given) Middle
Please list additional dependent family members coming with the applicant to the U.S. during period of study:
Dependent 1 Dependent 2 Dependent 3 Dependent 4
Last (Family) Name _________________ _________________ _________________ _________________
First (Given) Name _________________ _________________ _________________ _________________
Date of Birth _________________ _________________ _________________ _________________
Birth Country _________________ _________________ _________________ _________________
Citizenship Country _________________ _________________ _________________ _________________
Relationship _________________ _________________ _________________ _________________
All funds that I am responsible for will be provided by (check one):
____ Family ____ Self ____ Other (please specify):___________________________
I understand that these are estimated expenses that may change at any time. I also understand that tuition is due at the
beginning of every semester. I certify that I will have sufficient funds to pay for my actual expenses for each year that I
attend Rose State College.
Applicant’s Signature: ___________________________________________________ Date: ________________
INTERNATIONAL STUDENT SPONSOR SUPPORT CERTIFICATION
Office of Admissions and Records
6420 S. E. 15
th
Street
Midwest City, Oklahoma 73110-2799
A CERTIFIED BANK STATEMENT FROM YOUR SPONSOR’S BANK SHOWING AVAILABLE FUNDS TO COVER
EXPENSES FOR ONE YEAR MUST BE ATTACHED.
THE BANK STATEMENT MUST BE LESS THAN 90 DAYS OLD.
THE BANK STATEMENT MUST INCLUDE A TRANSLATION TO U. S. DOLLAR
EQUIVALENCY.
THE BANK STATEMENT MUST BE STAMPED AND SIGNED BY A BANK OR GOVERNMENT
OFFICIAL.
THE SPONSOR NAME ON THE CERTIFICATE OF SUPPORT MUST MATCH THE NAME ON THE BANK
STATEMENT.
IF BANK POLICIES DO NOT ALLOW COMPLETION OF THIS FORM, A SEPARATE LETTER OR AFFIDAVIT IS
ACCEPTABLE. IT SHOULD STATE THAT THE SPONSOR HAS AT LEAST THE REQUIRED AMOUNT OF FUNDS
AVAILABLE.
THE SPONSOR CANNOT BE ANOTHER INTERNATIONAL STUDENT.
SPONSOR’S VERIFICATION OF SUPPORT
This certifies that I, _______________________________________________________, will assume full responsibility for the
SPONSOR’S PRINTED NAME
financial support of ____________________________________________ during his/her studies at Rose State College and have
STUDENT NAME
the equivalent of $18,000 or more in U.S. funds available.
____________________________________________________ ______________
SPONSOR’S SIGNATURE DATE
SPONSOR’S RELATIONSHIP TO STUDENT: _________________________________
SPONSOR’S ADDRESS: ____________________________________________________________________________________________
I certify that the above mentioned person has sufficient funds necessary to cover the above listed estimated costs of attendance at
Rose State College. This does not include finances for the care of a spouse or children.
___________________________________________________________________
SIGNATURE & TITLE OF BANK OR GOVERNMENT OFFICIAL
_________________________
DATE
SEAL OR STAMP
CERTIFICATION
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