Fillable International Graduate Financial Form (Saint Cloud State University)

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International Graduate Financial Form (Saint Cloud State University)

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International Graduate
Financial Form
RETURN THIS FORM WITH YOUR BANK STATEMENT FOR I-20
READ CAREFULLY! You are required to submit financial certification indicating you have documented support for the
esti
mate of annual expenses of your program.* Expenses include tuition and fees, living expenses, personal expenses, books,
and health insurance. International travel expenses are not included in the annual estimate. If you plan to bring dependents
(spouse and/or children), you must submit additional funding. **
BE SURE TO RESPOND TO ALL QUESTIONS, REQUIREMENTS AND BLANKS TO AVOID A DELAY.
Please type or print your name as it appears on your passport.
NAME
LAST/FAMILY FIRST/GIVEN MIDDLE
Student ID _________________________
I am married not married
Do you have any dependents?**
Yes No If yes, please complete:
City & Country Date of Accompany Come
Remain
Name Relationship of Birth Birth you? Later? Home?
**Remember, $6,500 additional funding is required for the first dependent and $4,000 for each dependent thereafter if
dependents will accompany or later join applicant.
FUND
ING SOURCES Choose the appropriate category (1, 2, 3 or a combination) and state the source of your yearly
financial resources in U.S. dollars with which you will pay all your expenses.
1) Personal resources: I have personal savings in the equivalent of USD $ __________________
2) Parent or Sponsor resources: My parent or sponsor has the equivalent of USD $ __________________
______________________________________ __________________________________
Print Name of Parent, Relative, Sponsor
Signature of Parent, Relative, Sponsor
List the name exactly as it is on the Bank Account
Rev 2/2020
3) If receiving financial support from a government agency, private foundation, university (assistantship), or business,
please enclose a signed and certified letter of your award. This letter may not be older than six (6) months. The letter
must state that you have already been approved to receive the support for study at St. Cloud State University and
must indicate the amount of the support you will receive.
____
_________________________________ USD $_______________________
Name of agency, foundation, business
Total must equal the amount listed below for your program to receive the I-20 document for the visa.
TOTAL OF 1, 2, 3 USD $ ______________________
*Total Supp
ort Required
Per Program:
Graduate
MostMasters
programs*
MBA MEM
Plymouth
EMEM
St.Paul
RAS/MTQ/ACR
Plymouth
Ed.D.
Tuition $8,570 $10,303 $7,201 $10,196 $13,223 $11,888
Fees $600 $600 $600 $600 $600 $600
Livingexpenses(roomand
board,12months) $9,728 $9,728 $9,728 $9,728 $9,728 $9,728
Healthinsurance,Books,and
supplies $4,952 $4,952 $4,952 $4,952 $4,952 $4,952
Totalrequiredforfinancial
documents $23,850 $25,583 $22,481 25,476 $28,503 $27,168
*TotaltuitionforMostMastersprogramsisinclusiveoftheACSS
scholarship(internationaltuitionrate).
Rev 2/2020
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Completed 13 October 2021

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